Provider Demographics
NPI:1467085035
Name:OLIVER, HEATHER (LISW-CP)
Entity Type:Individual
Prefix:
First Name:HEATHER
Middle Name:
Last Name:OLIVER
Suffix:
Gender:F
Credentials:LISW-CP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1448 THAYER PL
Mailing Address - Street 2:
Mailing Address - City:MOUNT PLEASANT
Mailing Address - State:SC
Mailing Address - Zip Code:29466-9029
Mailing Address - Country:US
Mailing Address - Phone:973-865-0590
Mailing Address - Fax:
Practice Address - Street 1:672 MARINA DR STE 205
Practice Address - Street 2:
Practice Address - City:CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29492-8095
Practice Address - Country:US
Practice Address - Phone:843-996-0331
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-02-21
Last Update Date:2020-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical