Provider Demographics
NPI:1003557208
Name:HEARD, HEIDI FROST (LCPC)
Entity type:Individual
Prefix:MRS
First Name:HEIDI
Middle Name:FROST
Last Name:HEARD
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:920 KNOX ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77007-5120
Mailing Address - Country:US
Mailing Address - Phone:505-362-1926
Mailing Address - Fax:
Practice Address - Street 1:920 KNOX ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77007-5120
Practice Address - Country:US
Practice Address - Phone:505-362-1926
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-04-05
Last Update Date:2022-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
11329101YA0400X
TX11329101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)