Provider Demographics
NPI:1386184653
Name:SILIVANCH, HEATHER (MA, LPC, NCC)
Entity Type:Individual
Prefix:
First Name:HEATHER
Middle Name:
Last Name:SILIVANCH
Suffix:
Gender:F
Credentials:MA, LPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:55 MADISON AVE STE 400
Mailing Address - Street 2:
Mailing Address - City:MORRISTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07960-7397
Mailing Address - Country:US
Mailing Address - Phone:732-532-3440
Mailing Address - Fax:
Practice Address - Street 1:55 MADISON AVE STE 400
Practice Address - Street 2:
Practice Address - City:MORRISTOWN
Practice Address - State:NJ
Practice Address - Zip Code:07960-7397
Practice Address - Country:US
Practice Address - Phone:732-532-3440
Practice Address - Fax:732-520-3435
Is Sole Proprietor?:Yes
Enumeration Date:2017-03-06
Last Update Date:2021-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37PC00608600101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health