Provider Demographics
NPI:1932648433
Name:FOSTER, HEATHER (LPC)
Entity Type:Individual
Prefix:MS
First Name:HEATHER
Middle Name:
Last Name:FOSTER
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:MISS
Other - First Name:HEATHER
Other - Middle Name:
Other - Last Name:DIPALMA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPC
Mailing Address - Street 1:17406 TIMBERLANE DR
Mailing Address - Street 2:
Mailing Address - City:PONCHATOULA
Mailing Address - State:LA
Mailing Address - Zip Code:70454-4942
Mailing Address - Country:US
Mailing Address - Phone:985-969-1662
Mailing Address - Fax:
Practice Address - Street 1:902 CM FAGAN DR
Practice Address - Street 2:SUITE B
Practice Address - City:HAMMOND
Practice Address - State:LA
Practice Address - Zip Code:70403-4942
Practice Address - Country:US
Practice Address - Phone:985-969-1662
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-02-16
Last Update Date:2017-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA3228101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional