Provider Demographics
NPI:1972084762
Name:HEIR, JASLEEN KAUR (LMFTA)
Entity Type:Individual
Prefix:
First Name:JASLEEN
Middle Name:KAUR
Last Name:HEIR
Suffix:
Gender:F
Credentials:LMFTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12301 WINDING CREEK CIR
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46236-8342
Mailing Address - Country:US
Mailing Address - Phone:214-289-2164
Mailing Address - Fax:
Practice Address - Street 1:9550 WHITLEY DR STE A
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46240-1312
Practice Address - Country:US
Practice Address - Phone:317-708-9181
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-08-28
Last Update Date:2018-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN85000324A106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist