MRS. CAROL SUE HEAVIN LAC, TA
NPI 1154964872
Counselor - Mental Health in Mabelvale, AR

Active since October 25, 2019
10500 WOODMAN ST, MABELVALE, AR 72103(501) 247-1456 Get Directions Write a Review

NPPES record last updated: October 25, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mrs. Carol Sue Heavin Lac, Ta NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. CAROL SUE HEAVIN LAC, TA (NPI 1154964872) is an individual mental health provider in Mabelvale, Arkansas, licensed in Arkansas (A1707234) and active in the NPI registry since October 2019.

NPPES Registry Identity

NPI1154964872
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMRS. CAROL SUE HEAVINCredential: LAC, TA
Location Address10500 WOODMAN STMabelvale, AR 72103-1789
Mailing Address11201 Heinke RdMabelvale, AR 72103-2048 · (501) 455-5793
Sole ProprietorYes
Enumeration DateOctober 25, 2019
NPI 1154964872 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in AR · A1707234
10500 WOODMAN ST, Mabelvale, AR 72103

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Carol Heavin's NPI number?

The NPI number for Carol Heavin is 1154964872. It was assigned to this individual provider in the NPPES registry on October 25, 2019.

Where is Carol Heavin located?

Carol Heavin practices at 10500 Woodman St, Mabelvale, AR 72103. The listed phone number is (501) 247-1456.

What is Carol Heavin's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Carol Heavin was last updated on October 25, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.