Provider Demographics
NPI:1235817263
Name:MCGRATH, HEATHER (LCPC)
Entity Type:Individual
Prefix:
First Name:HEATHER
Middle Name:
Last Name:MCGRATH
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:HEATHER
Other - Middle Name:
Other - Last Name:LICHTER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1500 E GUDE DR
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20850-5307
Mailing Address - Country:US
Mailing Address - Phone:240-777-4136
Mailing Address - Fax:
Practice Address - Street 1:1500 E GUDE DR
Practice Address - Street 2:
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20850-5307
Practice Address - Country:US
Practice Address - Phone:240-777-4136
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-07-10
Last Update Date:2023-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLC9935101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health