Provider Demographics
NPI:1265805337
Name:CASSELS, HEATHER LINDSAY (LPC)
Entity type:Individual
Prefix:
First Name:HEATHER
Middle Name:LINDSAY
Last Name:CASSELS
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 1:524 S HOUSTON LAKE RD
Mailing Address - Street 2:SUITE G 100
Mailing Address - City:WARNER ROBINS
Mailing Address - State:GA
Mailing Address - Zip Code:31088-9027
Mailing Address - Country:US
Mailing Address - Phone:478-333-2498
Mailing Address - Fax:
Practice Address - Street 1:524 S HOUSTON LAKE RD
Practice Address - Street 2:SUITE G 100
Practice Address - City:WARNER ROBINS
Practice Address - State:GA
Practice Address - Zip Code:31088-9027
Practice Address - Country:US
Practice Address - Phone:478-333-2498
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-11-11
Last Update Date:2015-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA006896101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional