Provider Demographics
NPI:1235182007
Name:HEARD, LITTLE SUN S (LPCC)
Entity Type:Individual
Prefix:MS
First Name:LITTLE SUN
Middle Name:S
Last Name:HEARD
Suffix:
Gender:F
Credentials:LPCC
Other - Prefix:MS
Other - First Name:LITTLE SUN
Other - Middle Name:S
Other - Last Name:HEARD
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LPCC
Mailing Address - Street 1:5100 2ND ST NW
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87107-4009
Mailing Address - Country:US
Mailing Address - Phone:505-660-9437
Mailing Address - Fax:
Practice Address - Street 1:5100 2ND ST NW
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87107-4009
Practice Address - Country:US
Practice Address - Phone:505-660-9437
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-05-19
Last Update Date:2008-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMLPCC 0066492101YM0800X
COLPC 3653101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional