Provider Demographics
NPI:1992007876
Name:DAVIES, HEATHER JULIA (LPC)
Entity Type:Individual
Prefix:MRS
First Name:HEATHER
Middle Name:JULIA
Last Name:DAVIES
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2570 WOODSIDE DR
Mailing Address - Street 2:
Mailing Address - City:HIGHLAND VILLAGE
Mailing Address - State:TX
Mailing Address - Zip Code:75077-8683
Mailing Address - Country:US
Mailing Address - Phone:972-317-7590
Mailing Address - Fax:972-691-7715
Practice Address - Street 1:2516 HARWOOD RD
Practice Address - Street 2:
Practice Address - City:BEDFORD
Practice Address - State:TX
Practice Address - Zip Code:76021-1706
Practice Address - Country:US
Practice Address - Phone:214-914-8391
Practice Address - Fax:972-692-7751
Is Sole Proprietor?:Yes
Enumeration Date:2010-11-25
Last Update Date:2010-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX20202101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health