Provider Demographics
NPI:1205195393
Name:HENNINGTON, HEATHER MARIE (MA CFI)
Entity Type:Individual
Prefix:MRS
First Name:HEATHER
Middle Name:MARIE
Last Name:HENNINGTON
Suffix:
Gender:F
Credentials:MA CFI
Other - Prefix:
Other - First Name:HEATHER
Other - Middle Name:MARIE
Other - Last Name:SENA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MA CFI
Mailing Address - Street 1:5865 LEHMAN DRIVE
Mailing Address - Street 2:SUITE 100
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80918-3419
Mailing Address - Country:US
Mailing Address - Phone:719-260-1162
Mailing Address - Fax:719-260-1162
Practice Address - Street 1:5865 LEHMAN DRIVE
Practice Address - Street 2:SUITE 100
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80918-3419
Practice Address - Country:US
Practice Address - Phone:719-260-1162
Practice Address - Fax:719-260-1162
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-09
Last Update Date:2012-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO13281 CO101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor