Provider Demographics
NPI:1740596006
Name:HEIFNER, LEAH SHAUNNA (LPC-MHSP)
Entity Type:Individual
Prefix:MRS
First Name:LEAH
Middle Name:SHAUNNA
Last Name:HEIFNER
Suffix:
Gender:F
Credentials:LPC-MHSP
Other - Prefix:MISS
Other - First Name:LEAH
Other - Middle Name:SHAUNNA
Other - Last Name:TRANTANELLA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPC-MHSP
Mailing Address - Street 1:8001 CONNER RD
Mailing Address - Street 2:SUITE C
Mailing Address - City:POWELL
Mailing Address - State:TN
Mailing Address - Zip Code:37849-3104
Mailing Address - Country:US
Mailing Address - Phone:865-296-9232
Mailing Address - Fax:865-938-7277
Practice Address - Street 1:8001 CONNER RD
Practice Address - Street 2:SUITE C
Practice Address - City:POWELL
Practice Address - State:TN
Practice Address - Zip Code:37849-3104
Practice Address - Country:US
Practice Address - Phone:865-296-9232
Practice Address - Fax:865-938-7277
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-25
Last Update Date:2015-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN6718589101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional