Provider Demographics
NPI:1003438318
Name:HESTON, SKYLER GRACE (LCSW)
Entity type:Individual
Prefix:
First Name:SKYLER
Middle Name:GRACE
Last Name:HESTON
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:SKYLER
Other - Middle Name:
Other - Last Name:FRANZEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3404 WILSON AVE
Mailing Address - Street 2:
Mailing Address - City:LYNCHBURG
Mailing Address - State:VA
Mailing Address - Zip Code:24501-6221
Mailing Address - Country:US
Mailing Address - Phone:518-948-9353
Mailing Address - Fax:
Practice Address - Street 1:1075 LIGHT BOULEVARD
Practice Address - Street 2:
Practice Address - City:FOREST
Practice Address - State:VA
Practice Address - Zip Code:24551
Practice Address - Country:US
Practice Address - Phone:888-808-6050
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-05-08
Last Update Date:2025-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0110910102L00000X
VA09040177731041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No102L00000XBehavioral Health & Social Service ProvidersPsychoanalyst