Provider Demographics
NPI:1720483258
Name:RHEMA, SUSAN HEFFNER (PHD, LCSW)
Entity Type:Individual
Prefix:MS
First Name:SUSAN
Middle Name:HEFFNER
Last Name:RHEMA
Suffix:
Gender:F
Credentials:PHD, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:212 W ORMSBY AVE
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40203-2820
Mailing Address - Country:US
Mailing Address - Phone:502-550-0576
Mailing Address - Fax:502-635-2457
Practice Address - Street 1:1347 S 3RD ST
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40208-3306
Practice Address - Country:US
Practice Address - Phone:502-550-0576
Practice Address - Fax:502-635-2457
Is Sole Proprietor?:Yes
Enumeration Date:2014-10-27
Last Update Date:2017-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY19241041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical