Individual provider · Type 1 NPI

Ebony Heard

Professional Counselor · Jacksonville, AL

NPI number 1720601974 Active

Practice location

1215 Jackson Way SW
Jacksonville, AL 36265-4306

Mailing address

4023 Fields Run
Pike Road, AL 36064-0079

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X4807 (AL)

Professional Counselor: Definition to come...

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About NPI 1720601974

Ebony Heard's National Provider Identifier is 1720601974, issued on May 22, 2020. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Jacksonville, AL. The record was last updated on Aug 27, 2025.