Provider Demographics
NPI:1851571574
Name:MEYER, HEATHER L (LMHC)
Entity Type:Individual
Prefix:
First Name:HEATHER
Middle Name:L
Last Name:MEYER
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 1:6186 BURLINGTON AVE
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46220-2410
Mailing Address - Country:US
Mailing Address - Phone:317-603-0995
Mailing Address - Fax:
Practice Address - Street 1:951 E 86TH ST
Practice Address - Street 2:SUITE 100-C
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46240-1849
Practice Address - Country:US
Practice Address - Phone:317-603-0995
Practice Address - Fax:317-603-0995
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-09
Last Update Date:2014-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN39001742A101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health