Provider Demographics
NPI:1003033523
Name:OATES, HEATHER JOANE (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:HEATHER
Middle Name:JOANE
Last Name:OATES
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MRS
Other - First Name:JONI
Other - Middle Name:RUSH
Other - Last Name:OATES
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LCSW
Mailing Address - Street 1:220 ADAMS PATH
Mailing Address - Street 2:
Mailing Address - City:PINEVILLE
Mailing Address - State:LA
Mailing Address - Zip Code:71360-7903
Mailing Address - Country:US
Mailing Address - Phone:318-308-0072
Mailing Address - Fax:
Practice Address - Street 1:2495 SHREVEPORT HWY
Practice Address - Street 2:
Practice Address - City:PINEVILLE
Practice Address - State:LA
Practice Address - Zip Code:71360-4044
Practice Address - Country:US
Practice Address - Phone:318-466-4105
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-18
Last Update Date:2023-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA4H152Medicare ID - Type Unspecified