Michelle Heironimus's National Provider Identifier (NPI) Details
Michelle Heironimus, LMHC
NPI: 1376277251
Enumeration Date: 2022-07-15
Last updated: 2025-01-09
Sole Proprietor: YES
Status: active
Postal Address: 13703 SPLIT ROCK CV, FORT WAYNE, IN
Phone: 260-255-4607
Primary Practice Address: 13703 SPLIT ROCK CV, FORT WAYNE, IN
Practice's phone: 260-255-4607