Provider Demographics
NPI:1770173759
Name:WILTSHIRE, HEATHER PATTERSON (LPC-S, NBCC)
Entity type:Individual
Prefix:
First Name:HEATHER
Middle Name:PATTERSON
Last Name:WILTSHIRE
Suffix:
Gender:F
Credentials:LPC-S, NBCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5623 TCHOUPITOULAS ST
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70115-2023
Mailing Address - Country:US
Mailing Address - Phone:504-296-8041
Mailing Address - Fax:
Practice Address - Street 1:5623 TCHOUPITOULAS ST
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70115-2023
Practice Address - Country:US
Practice Address - Phone:504-296-8041
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-22
Last Update Date:2021-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA2717101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional