| Doctor Name: | EVE HEART |
| NPI Number: | 1700233723 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LPC, DE |
| License Number: | LPC-3083 |
| Business Practice Address: | 35 Wildcat Way Kellogg, ID - 838372261 |
| Business Phone Number: | 2087841353 |
| Business Fax Number: | 2087841356 |
| Mailing Address: | 122 Gold Ave, KELLOGG |
| State: | ID |
| Postal Code: | 838372623 |
| Phone Number: | 2087841353 |
| Fax Number: | 2087841356 |
| NPI Enumeration Date: | 05/19/2016 |
| NPI Last Update Date: | 05/19/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | LPC-3083 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | ID |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |