Provider Demographics
NPI:1528115136
Name:HEIN, DENISE MARIE (LMFT)
Entity type:Individual
Prefix:
First Name:DENISE
Middle Name:MARIE
Last Name:HEIN
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1760 BEECHER DR
Mailing Address - Street 2:
Mailing Address - City:EAGAN
Mailing Address - State:MN
Mailing Address - Zip Code:55122-2430
Mailing Address - Country:US
Mailing Address - Phone:952-201-7831
Mailing Address - Fax:
Practice Address - Street 1:1760 BEECHER DR
Practice Address - Street 2:
Practice Address - City:EAGAN
Practice Address - State:MN
Practice Address - Zip Code:55122-2430
Practice Address - Country:US
Practice Address - Phone:952-201-7831
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-04
Last Update Date:2022-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN1668106H00000X
IA000288106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist