Provider Demographics
NPI:1972946440
Name:HEESH, TAMI ELIZABETH (ADC)
Entity Type:Individual
Prefix:MS
First Name:TAMI
Middle Name:ELIZABETH
Last Name:HEESH
Suffix:
Gender:F
Credentials:ADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7389 BARBOUR COUNTY HWY
Mailing Address - Street 2:
Mailing Address - City:BELINGTON
Mailing Address - State:WV
Mailing Address - Zip Code:26250-8900
Mailing Address - Country:US
Mailing Address - Phone:304-823-1165
Mailing Address - Fax:
Practice Address - Street 1:23 WABASH AVE
Practice Address - Street 2:
Practice Address - City:PHILIPPI
Practice Address - State:WV
Practice Address - Zip Code:26416-1262
Practice Address - Country:US
Practice Address - Phone:304-457-1670
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-04-15
Last Update Date:2013-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)