Provider Demographics
NPI:1699249813
Name:RANKIN, HEATHER (LMHP)
Entity type:Individual
Prefix:
First Name:HEATHER
Middle Name:
Last Name:RANKIN
Suffix:
Gender:F
Credentials:LMHP
Other - Prefix:
Other - First Name:HEATHER
Other - Middle Name:K
Other - Last Name:SKILLSTAD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2608 OLD FAIR RD
Mailing Address - Street 2:
Mailing Address - City:GRAND ISLAND
Mailing Address - State:NE
Mailing Address - Zip Code:68803-5271
Mailing Address - Country:US
Mailing Address - Phone:308-382-5297
Mailing Address - Fax:308-382-5315
Practice Address - Street 1:414 W MAIN ST
Practice Address - Street 2:
Practice Address - City:ALBION
Practice Address - State:NE
Practice Address - Zip Code:68620-1231
Practice Address - Country:US
Practice Address - Phone:308-382-5297
Practice Address - Fax:308-382-5315
Is Sole Proprietor?:No
Enumeration Date:2019-01-22
Last Update Date:2024-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE6223101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health