Provider Demographics
NPI:1548577463
Name:WESTBROOK, HEATHER ANN (LMHC)
Entity Type:Individual
Prefix:
First Name:HEATHER
Middle Name:ANN
Last Name:WESTBROOK
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:97 CENTRAL ST
Mailing Address - Street 2:SUITE 303
Mailing Address - City:LOWELL
Mailing Address - State:MA
Mailing Address - Zip Code:01852-1917
Mailing Address - Country:US
Mailing Address - Phone:401-864-2946
Mailing Address - Fax:978-856-7213
Practice Address - Street 1:97 CENTRAL ST
Practice Address - Street 2:SUITE 303
Practice Address - City:LOWELL
Practice Address - State:MA
Practice Address - Zip Code:01852-1917
Practice Address - Country:US
Practice Address - Phone:401-864-2946
Practice Address - Fax:978-856-7213
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-13
Last Update Date:2015-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA8254101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health