Provider Demographics
NPI:1629129150
Name:HERIOT, MARGARET RUTH (LMHC)
Entity Type:Individual
Prefix:MRS
First Name:MARGARET
Middle Name:RUTH
Last Name:HERIOT
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 1:1000 KRESKY AVE
Mailing Address - Street 2:SUITE F
Mailing Address - City:CENTRALIA
Mailing Address - State:WA
Mailing Address - Zip Code:98531
Mailing Address - Country:US
Mailing Address - Phone:360-736-1808
Mailing Address - Fax:360-736-1460
Practice Address - Street 1:1000 KRESKY AVE
Practice Address - Street 2:SUITE F
Practice Address - City:CENTRALIA
Practice Address - State:WA
Practice Address - Zip Code:98531
Practice Address - Country:US
Practice Address - Phone:360-736-1808
Practice Address - Fax:360-736-1460
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-12
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARC00048297101YM0800X
WALH 60040719101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA2010939Medicaid