Doctor Name: | HEATHER D HEATH |
NPI Number: | 1497015374 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.A. |
License Number: | |
Business Practice Address: | 56 N 2nd St Macclenny, FL - 320632206 |
Business Phone Number: | 9042590264 |
Business Fax Number: | 9042590265 |
Mailing Address: | 56 N 2nd St, MACCLENNY |
State: | FL |
Postal Code: | 320632206 |
Phone Number: | 9042590264 |
Fax Number: | 9042590265 |
NPI Enumeration Date: | 05/24/2012 |
NPI Last Update Date: | 08/07/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
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 |