Provider Demographics
NPI:1821404252
Name:KAY, HEATHER (PHD, LCP)
Entity Type:Individual
Prefix:DR
First Name:HEATHER
Middle Name:
Last Name:KAY
Suffix:
Gender:F
Credentials:PHD, LCP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:530 E MAIN ST
Mailing Address - Street 2:SUITE 1012
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23219-2418
Mailing Address - Country:US
Mailing Address - Phone:804-382-6546
Mailing Address - Fax:
Practice Address - Street 1:530 E MAIN ST
Practice Address - Street 2:SUITE 1012
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23219-2418
Practice Address - Country:US
Practice Address - Phone:804-382-6546
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-07-07
Last Update Date:2014-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0810004995103TC1900X, 103TP2701X, 103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling
No103TP2701XBehavioral Health & Social Service ProvidersPsychologistGroup Psychotherapy