Provider Demographics
NPI:1255089389
Name:LARKIN, HEATHER DOUCETTE (EDD, LMHC)
Entity type:Individual
Prefix:
First Name:HEATHER
Middle Name:DOUCETTE
Last Name:LARKIN
Suffix:
Gender:F
Credentials:EDD, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:157 HIXVILLE RD
Mailing Address - Street 2:
Mailing Address - City:NORTH DARTMOUTH
Mailing Address - State:MA
Mailing Address - Zip Code:02747-2026
Mailing Address - Country:US
Mailing Address - Phone:774-644-8818
Mailing Address - Fax:
Practice Address - Street 1:157 HIXVILLE RD
Practice Address - Street 2:
Practice Address - City:NORTH DARTMOUTH
Practice Address - State:MA
Practice Address - Zip Code:02747-2026
Practice Address - Country:US
Practice Address - Phone:774-644-8818
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-03-17
Last Update Date:2022-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA4035101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty