Provider Demographics
NPI:1386197002
Name:DUNLEAVY, HEATHER L (LMFT)
Entity Type:Individual
Prefix:
First Name:HEATHER
Middle Name:L
Last Name:DUNLEAVY
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:HEATHER
Other - Middle Name:DUNLEVY
Other - Last Name:SCHEERER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:950 GRAVES ST STE G
Mailing Address - Street 2:
Mailing Address - City:KERNERSVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27284-3246
Mailing Address - Country:US
Mailing Address - Phone:336-497-5271
Mailing Address - Fax:336-360-6724
Practice Address - Street 1:950 GRAVES ST STE G
Practice Address - Street 2:
Practice Address - City:KERNERSVILLE
Practice Address - State:NC
Practice Address - Zip Code:27284-3246
Practice Address - Country:US
Practice Address - Phone:336-497-5271
Practice Address - Fax:336-360-6724
Is Sole Proprietor?:Yes
Enumeration Date:2016-07-28
Last Update Date:2021-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1930106H00000X
NC11033A106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC1811567977OtherNPI
NC1477819712OtherNPI