Provider Demographics
NPI:1275014276
Name:RINEHART, HEIDI E (LPC)
Entity Type:Individual
Prefix:
First Name:HEIDI
Middle Name:E
Last Name:RINEHART
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:310 SHADOWOOD DR
Mailing Address - Street 2:
Mailing Address - City:SIMPSONVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29681-4524
Mailing Address - Country:US
Mailing Address - Phone:864-430-2926
Mailing Address - Fax:
Practice Address - Street 1:5 CENTER ST
Practice Address - Street 2:
Practice Address - City:TRAVELERS REST
Practice Address - State:SC
Practice Address - Zip Code:29690-1826
Practice Address - Country:US
Practice Address - Phone:864-834-5772
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-08-27
Last Update Date:2018-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC6320101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health