Provider Demographics
NPI:1710405469
Name:ELIZABETH S. HEFFNER LLC
Entity type:Organization
Organization Name:ELIZABETH S. HEFFNER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST/OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:S
Authorized Official - Last Name:HEFFNER
Authorized Official - Suffix:
Authorized Official - Credentials:MED, LPC
Authorized Official - Phone:484-207-6754
Mailing Address - Street 1:1021 PENN AVE UNIT 6067
Mailing Address - Street 2:
Mailing Address - City:WYOMISSING
Mailing Address - State:PA
Mailing Address - Zip Code:19610-4813
Mailing Address - Country:US
Mailing Address - Phone:484-207-6754
Mailing Address - Fax:484-538-2992
Practice Address - Street 1:1021 PENN AVE UNIT 6067
Practice Address - Street 2:
Practice Address - City:WYOMISSING
Practice Address - State:PA
Practice Address - Zip Code:19610-4813
Practice Address - Country:US
Practice Address - Phone:484-207-6754
Practice Address - Fax:484-538-2992
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-09-01
Last Update Date:2025-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC009500261QM0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)