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Tracy Heidtman
Mental Health Counselor in Melbourne, Florida
NPI 1962843888

Tracy Heidtman is a Mental Health Counselor based in Melbourne, FL and is specialized in Mental Health. Tracy Heidtman practices in Melbourne, FL. The NPI Number for Tracy Heidtman is 1962843888 and holds a License No. (Florida).

The current practice location address for Tracy Heidtman is 4450 W Eau Gallie Blvd Ste 200, Melbourne, FL and can be reached out via phone at 321-722-5200.

Location: 4450 W Eau Gallie Blvd Ste 200, Melbourne, FL, 32901-3122
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1962843888
Provider Name
Tracy Heidtman
Credential
Provider Entity Type
Individual
Gender
Female
Address
4450 W Eau Gallie Blvd Ste 200, Melbourne, FL, 32901-3122
Phone Number
321-722-5200
Fax Number
Provider Enumeration Date
07/08/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4450 W Eau Gallie Blvd Ste 200
City
Melbourne
State
Florida
Zip
32934-7214
Phone Number
321-722-5200
Fax Number
person
Provider Business Mailing Address Details
Address
4450 W Eau Gallie Blvd Ste 200
City
Melbourne
State
Florida
Zip
32934-7214
Phone Number
321-722-5200
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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