Provider Demographics
NPI:1548691330
Name:HECK, CARLEE L (LIMHP)
Entity type:Individual
Prefix:
First Name:CARLEE
Middle Name:L
Last Name:HECK
Suffix:
Gender:F
Credentials:LIMHP
Other - Prefix:
Other - First Name:CARLEE
Other - Middle Name:L
Other - Last Name:PETERSEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:10250 REGENCY CIR STE 300
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68114-3728
Mailing Address - Country:US
Mailing Address - Phone:402-370-9147
Mailing Address - Fax:402-939-0846
Practice Address - Street 1:10826 OLD MILL RD STE 103-8
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68154-2660
Practice Address - Country:US
Practice Address - Phone:402-370-9147
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-12-05
Last Update Date:2023-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE1924101YM0800X, 101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health