| Doctor Name: | MS. GERALDINE LEE HECKART |
| NPI Number: | 1679616973 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LSCSW LCSW |
| License Number: | LCSW 2003020619 |
| Business Practice Address: | 134 N 130th St #c Sunny Days Clinical Services Bonner Springs, KS - 66012 |
| Business Phone Number: | 9135225140 |
| Business Fax Number: | 9137211399 |
| Mailing Address: | 134 N 130th Street, #c BONNER SPRINGS |
| State: | KS |
| Postal Code: | 66012 |
| Phone Number: | 9135225140 |
| Fax Number: | 9137211399 |
| NPI Enumeration Date: | 02/15/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | LCSW 2003020619 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MO |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |