Individual provider · Type 1 NPI
Mia Heckstall, MA, BC-DMT
Mental Health Counselor · Norfolk, VA
NPI number
1760296891
Active
Practice location
9544 16th Bay St Unit A
Norfolk, VA 23518-6214
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | BC-DMY-1546 (VA) |
Mental Health Counselor: Definition to come...
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About NPI 1760296891
Mia Heckstall, MA, BC-DMT's National Provider Identifier is 1760296891, issued on Feb 7, 2025. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Norfolk, VA. The record was last updated on Feb 7, 2025.