Provider Demographics
NPI:1518254986
Name:FALEN, HEATHER (BA, BHRS)
Entity Type:Individual
Prefix:MRS
First Name:HEATHER
Middle Name:
Last Name:FALEN
Suffix:
Gender:F
Credentials:BA, BHRS
Other - Prefix:MRS
Other - First Name:HEATHER
Other - Middle Name:FALEN
Other - Last Name:ASHBY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:BA, BHRS
Mailing Address - Street 1:422 W MULBERRY ST
Mailing Address - Street 2:
Mailing Address - City:ENID
Mailing Address - State:OK
Mailing Address - Zip Code:73701-2563
Mailing Address - Country:US
Mailing Address - Phone:202-288-8950
Mailing Address - Fax:
Practice Address - Street 1:1625 W GARRIOTT RD
Practice Address - Street 2:SUITE F
Practice Address - City:ENID
Practice Address - State:OK
Practice Address - Zip Code:73703-5653
Practice Address - Country:US
Practice Address - Phone:580-242-4673
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-07-06
Last Update Date:2011-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health