HEATHER WILLARD LPC
NPI 1497277297
Counselor - Professional in Cleveland, GA
Active since July 13, 2017
About Heather Willard Lpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
HEATHER WILLARD LPC (NPI 1497277297) is an individual professional provider in Cleveland, Georgia, licensed in Georgia (009655) and active in the NPI registry since July 2017.
NPPES Registry Identity
NPI1497277297
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameHEATHER WILLARDCredential: LPC
Location Address129 N MAIN STCleveland, GA 30528-1123
Mailing Address4718 Quiet Meadow LnFlowery Branch, GA 30542-3743 · (770) 633-8343
Phone(706) 348-4060
Sole ProprietorYes
Enumeration DateJuly 13, 2017
✔ NPI 1497277297 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in GA · 009655
129 N MAIN ST, Cleveland, GA 30528
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1497277297, enumerated as an "individual" on July 13, 2017.
The provider is located at 129 N MAIN ST CLEVELAND, GA 30528 and the phone number is (706) 348-4060.
Counselor with taxonomy code 101YP2500X and a focus in Professional.