Provider Demographics
NPI:1477125649
Name:JAMES, HEATHER LEE
Entity Type:Individual
Prefix:
First Name:HEATHER
Middle Name:LEE
Last Name:JAMES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7400 WYNKOOP CT
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78744-4587
Mailing Address - Country:US
Mailing Address - Phone:214-914-2168
Mailing Address - Fax:866-237-5827
Practice Address - Street 1:7400 WYNKOOP CT
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78744-4587
Practice Address - Country:US
Practice Address - Phone:214-914-2168
Practice Address - Fax:866-237-5827
Is Sole Proprietor?:No
Enumeration Date:2021-07-15
Last Update Date:2023-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
106S00000X
TX204995106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No106S00000XBehavioral Health & Social Service ProvidersBehavior Technician