Provider Demographics
NPI:1093160244
Name:HEATON, LAUREN MARIE
Entity Type:Individual
Prefix:MRS
First Name:LAUREN
Middle Name:MARIE
Last Name:HEATON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:113 SUNSET DR
Mailing Address - Street 2:
Mailing Address - City:MCKNIGHT
Mailing Address - State:PA
Mailing Address - Zip Code:15237-3740
Mailing Address - Country:US
Mailing Address - Phone:724-272-3073
Mailing Address - Fax:
Practice Address - Street 1:9401 MCKNIGHT RD
Practice Address - Street 2:SUITE 105
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15237-6000
Practice Address - Country:US
Practice Address - Phone:412-367-0575
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-04-25
Last Update Date:2016-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional