Provider Demographics
NPI:1609503812
Name:GARNER, HEATHER ALTON (LLPC)
Entity Type:Individual
Prefix:
First Name:HEATHER
Middle Name:ALTON
Last Name:GARNER
Suffix:
Gender:F
Credentials:LLPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5391 MOUNTAIN RD
Mailing Address - Street 2:
Mailing Address - City:BRIGHTON
Mailing Address - State:MI
Mailing Address - Zip Code:48116-9735
Mailing Address - Country:US
Mailing Address - Phone:810-360-9354
Mailing Address - Fax:
Practice Address - Street 1:2820 BAKER RD
Practice Address - Street 2:
Practice Address - City:DEXTER
Practice Address - State:MI
Practice Address - Zip Code:48130-1181
Practice Address - Country:US
Practice Address - Phone:734-580-2920
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-07
Last Update Date:2022-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6451019573101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health