Provider Demographics
NPI:1164054045
Name:MOSHIER, HEATHER BRIDGES (BS, MBA, CAADC)
Entity Type:Individual
Prefix:
First Name:HEATHER
Middle Name:BRIDGES
Last Name:MOSHIER
Suffix:
Gender:F
Credentials:BS, MBA, CAADC
Other - Prefix:
Other - First Name:HEATHER
Other - Middle Name:ELIZABETH
Other - Last Name:BRIDGES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BS, MBA, CAADC
Mailing Address - Street 1:3132 FISHING CREEK VALLEY RD
Mailing Address - Street 2:
Mailing Address - City:HARRISBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17112-9265
Mailing Address - Country:US
Mailing Address - Phone:717-579-4400
Mailing Address - Fax:
Practice Address - Street 1:20 ERFORD RD STE 8
Practice Address - Street 2:
Practice Address - City:LEMOYNE
Practice Address - State:PA
Practice Address - Zip Code:17043-1163
Practice Address - Country:US
Practice Address - Phone:717-579-4400
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-02-07
Last Update Date:2024-01-18
Deactivation Date:2021-07-02
Deactivation Code:
Reactivation Date:2021-09-23
Provider Licenses
StateLicense IDTaxonomies
PA9098101Y00000X, 101YA0400X
PACW0243351041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)