Doctor Name: | KATHARINE HEATON |
NPI Number: | 1053783480 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC |
License Number: | 3466 |
Business Practice Address: | 1600 Browns Ferry Rd Madison, AL - 357589601 |
Business Phone Number: | 2565425636 |
Business Fax Number: | |
Mailing Address: | 310 Harvestwood Ct, MADISON |
State: | AL |
Postal Code: | 357586637 |
Phone Number: | 2566829230 |
Fax Number: | |
NPI Enumeration Date: | 10/25/2015 |
NPI Last Update Date: | 10/25/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | 3466 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |