Provider Demographics
NPI:1285526582
Name:PATCHEAK, HEIDI LYNN (LMFT)
Entity type:Individual
Prefix:
First Name:HEIDI
Middle Name:LYNN
Last Name:PATCHEAK
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5891 CROUPIER DR
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92647-2107
Mailing Address - Country:US
Mailing Address - Phone:714-206-8017
Mailing Address - Fax:
Practice Address - Street 1:18811 HUNTINGTON ST STE 210
Practice Address - Street 2:
Practice Address - City:HUNTINGTON BEACH
Practice Address - State:CA
Practice Address - Zip Code:92648-6004
Practice Address - Country:US
Practice Address - Phone:714-206-8017
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-19
Last Update Date:2025-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA155516101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health