Provider Demographics
NPI:1235409095
Name:HEEREY, ADAM C (MS, NCC, LPC)
Entity Type:Individual
Prefix:MR
First Name:ADAM
Middle Name:C
Last Name:HEEREY
Suffix:
Gender:M
Credentials:MS, NCC, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2509 BUTTERFIELD CT
Mailing Address - Street 2:
Mailing Address - City:MANHATTAN
Mailing Address - State:KS
Mailing Address - Zip Code:66502-7165
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:116 S 4TH ST
Practice Address - Street 2:SUITE 1
Practice Address - City:MANHATTAN
Practice Address - State:KS
Practice Address - Zip Code:66502-6110
Practice Address - Country:US
Practice Address - Phone:785-539-1017
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-01-10
Last Update Date:2012-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS2245101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional