Provider Demographics
NPI:1821708777
Name:ABIGAIL HEIT THERAPY LLC
Entity Type:Organization
Organization Name:ABIGAIL HEIT THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ABIGAIL
Authorized Official - Middle Name:
Authorized Official - Last Name:HEIT
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:224-628-6109
Mailing Address - Street 1:21561 WELBY TER
Mailing Address - Street 2:
Mailing Address - City:BROADLANDS
Mailing Address - State:VA
Mailing Address - Zip Code:20148-5049
Mailing Address - Country:US
Mailing Address - Phone:224-628-6109
Mailing Address - Fax:
Practice Address - Street 1:21561 WELBY TER
Practice Address - Street 2:
Practice Address - City:BROADLANDS
Practice Address - State:VA
Practice Address - Zip Code:20148-5049
Practice Address - Country:US
Practice Address - Phone:224-628-6109
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-12-01
Last Update Date:2022-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
No261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental HealthGroup - Single Specialty