Individual provider · Type 1 NPI
Carol Sue Heavin, LAC, TA
Mental Health Counselor · Mabelvale, AR
NPI number
1154964872
Active
Practice location
10500 Woodman St
Mabelvale, AR 72103-1789
Mailing address
11201 Heinke Rd
Mabelvale, AR 72103-2048
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | A1707234 (AR) |
Mental Health Counselor: Definition to come...
Other mental health counselor providers in Mabelvale
About NPI 1154964872
Carol Sue Heavin, LAC, TA's National Provider Identifier is 1154964872, issued on Oct 25, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Mabelvale, AR. The record was last updated on Oct 25, 2019.