Individual provider · Type 1 NPI

Heidi Nichole Booth, LPCC

Professional Counselor · Bay Village, OH

NPI number 1386396513 Active

Practice location

600 Dover Center Rd
Bay Village, OH 44140-3310

Fax (440) 635-3809

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XE.2404005 (OH)

Professional Counselor: Definition to come...

About NPI 1386396513

Heidi Nichole Booth, LPCC's National Provider Identifier is 1386396513, issued on Jan 19, 2022. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Bay Village, OH. The record was last updated on May 28, 2026.