Provider Demographics
NPI:1699073056
Name:SEEKINS, HEIDI ELIZABETH (MS)
Entity type:Individual
Prefix:MS
First Name:HEIDI
Middle Name:ELIZABETH
Last Name:SEEKINS
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:110 BOSTON STREET
Mailing Address - Street 2:
Mailing Address - City:SALEM
Mailing Address - State:MA
Mailing Address - Zip Code:01970
Mailing Address - Country:US
Mailing Address - Phone:503-526-8600
Mailing Address - Fax:503-643-1006
Practice Address - Street 1:110 BOSTON STREET
Practice Address - Street 2:
Practice Address - City:SALEM
Practice Address - State:MA
Practice Address - Zip Code:01970
Practice Address - Country:US
Practice Address - Phone:978-744-7905
Practice Address - Fax:503-643-1006
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-09
Last Update Date:2018-05-02
Deactivation Date:2018-04-11
Deactivation Code:
Reactivation Date:2018-05-02
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health