Provider Demographics
NPI:1760623672
Name:HEAGNEY, LORI-ANN KAY (LPC, LMHC)
Entity Type:Individual
Prefix:MRS
First Name:LORI-ANN
Middle Name:KAY
Last Name:HEAGNEY
Suffix:
Gender:F
Credentials:LPC, LMHC
Other - Prefix:MRS
Other - First Name:LORI
Other - Middle Name:
Other - Last Name:HEAGNEY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LPC, LMHC
Mailing Address - Street 1:2106 GLENHEATH DR
Mailing Address - Street 2:
Mailing Address - City:HENDERSONVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28791-9027
Mailing Address - Country:US
Mailing Address - Phone:727-409-2872
Mailing Address - Fax:
Practice Address - Street 1:2106 GLENHEATH DR
Practice Address - Street 2:
Practice Address - City:HENDERSONVILLE
Practice Address - State:NC
Practice Address - Zip Code:28791-9027
Practice Address - Country:US
Practice Address - Phone:727-409-2872
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-23
Last Update Date:2009-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH 6408101YM0800X
NCLPC 7321101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health