Provider Demographics
NPI:1831560309
Name:HEATHER RISK, PSYD & ASSOCIATES, PLLC
Entity type:Organization
Organization Name:HEATHER RISK, PSYD & ASSOCIATES, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED PSYCHOLOGIST/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:HEATHER
Authorized Official - Middle Name:MICHELLE
Authorized Official - Last Name:RISK
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:859-303-8041
Mailing Address - Street 1:230 N LIMESTONE
Mailing Address - Street 2:SUITE 100
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40507-1027
Mailing Address - Country:US
Mailing Address - Phone:859-303-8041
Mailing Address - Fax:
Practice Address - Street 1:230 N LIMESTONE
Practice Address - Street 2:SUITE 100
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40507-1027
Practice Address - Country:US
Practice Address - Phone:859-303-8041
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-10-09
Last Update Date:2015-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health