| Organization Name: | HERON RIDGE ASSOCIATES, PLC |
| NPI Number: | 1013187541 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DEBRA SCHECK (CEO/OWNER) |
| Mailing Address: | 31000 Telegraph Rd Suite 120 Bingham Farms |
| State: | MI US |
| Postal Code: | 480254360 |
| Phone Number: | 2485944991 |
| Fax Number: | 2483917478 |
| NPI Enumeration Date: | 03/12/2008 |
| NPI Last Update Date: | 06/14/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QM0801X |
| License Number: | 631056 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Mental Health (Including Community Mental Health Center) |
| Taxonomy Definition: | |