Provider Demographics
NPI:1841911427
Name:MANN, HEATHER LYNN (LPC)
Entity type:Individual
Prefix:
First Name:HEATHER
Middle Name:LYNN
Last Name:MANN
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:HEATHER
Other - Middle Name:LYNN MANN
Other - Last Name:ADAMS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPC
Mailing Address - Street 1:506 N POINT DR
Mailing Address - Street 2:
Mailing Address - City:SUMMERTOWN
Mailing Address - State:TN
Mailing Address - Zip Code:38483-7390
Mailing Address - Country:US
Mailing Address - Phone:803-391-9796
Mailing Address - Fax:
Practice Address - Street 1:506 N POINT DR
Practice Address - Street 2:
Practice Address - City:SUMMERTOWN
Practice Address - State:TN
Practice Address - Zip Code:38483-7390
Practice Address - Country:US
Practice Address - Phone:803-391-9796
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-09-12
Last Update Date:2024-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC6246101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health