Provider Demographics
NPI:1376337899
Name:CARVER, HEATHER DALTON (LPC-MHSP)
Entity type:Individual
Prefix:
First Name:HEATHER
Middle Name:DALTON
Last Name:CARVER
Suffix:
Gender:F
Credentials:LPC-MHSP
Other - Prefix:
Other - First Name:HEATHER
Other - Middle Name:LEANNE
Other - Last Name:DALTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPC-MHSP
Mailing Address - Street 1:142 N RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:PARROTTSVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37843-2524
Mailing Address - Country:US
Mailing Address - Phone:423-608-1999
Mailing Address - Fax:
Practice Address - Street 1:7417 KINGSTON PIKE
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37919-5606
Practice Address - Country:US
Practice Address - Phone:703-861-9862
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-08
Last Update Date:2025-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN5455101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional