Provider Demographics
NPI:1255869061
Name:HORVATH, HEATHER (LPC)
Entity Type:Individual
Prefix:
First Name:HEATHER
Middle Name:
Last Name:HORVATH
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:HEATHER
Other - Middle Name:
Other - Last Name:COOK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPC
Mailing Address - Street 1:333 ALBERT AVE STE 445
Mailing Address - Street 2:
Mailing Address - City:EAST LANSING
Mailing Address - State:MI
Mailing Address - Zip Code:48823-4393
Mailing Address - Country:US
Mailing Address - Phone:989-307-9470
Mailing Address - Fax:517-547-5376
Practice Address - Street 1:333 ALBERT AVE STE 445
Practice Address - Street 2:
Practice Address - City:EAST LANSING
Practice Address - State:MI
Practice Address - Zip Code:48823-4393
Practice Address - Country:US
Practice Address - Phone:989-307-9470
Practice Address - Fax:517-547-5376
Is Sole Proprietor?:Yes
Enumeration Date:2017-05-24
Last Update Date:2023-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6401015972101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI6401017946OtherLICENSE