Provider Demographics
NPI:1649158692
Name:HEILMAN, ERICH BENNIE (LMFT)
Entity type:Individual
Prefix:
First Name:ERICH
Middle Name:BENNIE
Last Name:HEILMAN
Suffix:
Gender:M
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3293 EMERSON ST
Mailing Address - Street 2:
Mailing Address - City:PALO ALTO
Mailing Address - State:CA
Mailing Address - Zip Code:94306-2943
Mailing Address - Country:US
Mailing Address - Phone:650-391-7732
Mailing Address - Fax:
Practice Address - Street 1:3293 EMERSON ST
Practice Address - Street 2:
Practice Address - City:PALO ALTO
Practice Address - State:CA
Practice Address - Zip Code:94306-2943
Practice Address - Country:US
Practice Address - Phone:650-391-7732
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-26
Last Update Date:2025-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA153021106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist