Provider Demographics
NPI:1942088380
Name:HEBERLEIN, DENISE SUE (LPC/A)
Entity Type:Individual
Prefix:MRS
First Name:DENISE
Middle Name:SUE
Last Name:HEBERLEIN
Suffix:
Gender:F
Credentials:LPC/A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:148 TENNIS VIEW CT
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:SC
Mailing Address - Zip Code:29073-6894
Mailing Address - Country:US
Mailing Address - Phone:803-561-6801
Mailing Address - Fax:
Practice Address - Street 1:418 BARR RD
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:SC
Practice Address - Zip Code:29072-2363
Practice Address - Country:US
Practice Address - Phone:217-440-5618
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-18
Last Update Date:2023-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC8247101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health