Provider Demographics
NPI:1528375045
Name:HODGES-HARRIS, HEATHER LYNAY (LPC-S)
Entity Type:Individual
Prefix:MRS
First Name:HEATHER
Middle Name:LYNAY
Last Name:HODGES-HARRIS
Suffix:
Gender:F
Credentials:LPC-S
Other - Prefix:
Other - First Name:HEATHER
Other - Middle Name:LYNAY
Other - Last Name:HODGES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:HEATHER HODGES
Mailing Address - Street 1:PO BOX 2435
Mailing Address - Street 2:
Mailing Address - City:ALBANY
Mailing Address - State:TX
Mailing Address - Zip Code:76430-8020
Mailing Address - Country:US
Mailing Address - Phone:325-762-2447
Mailing Address - Fax:
Practice Address - Street 1:725 PATE ST
Practice Address - Street 2:
Practice Address - City:ALBANY
Practice Address - State:TX
Practice Address - Zip Code:76430-3225
Practice Address - Country:US
Practice Address - Phone:325-762-2447
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-03
Last Update Date:2015-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX58397101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health