Provider Demographics
NPI:1881213619
Name:HEBERT, HEATHER W
Entity type:Individual
Prefix:MRS
First Name:HEATHER
Middle Name:W
Last Name:HEBERT
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:124 WHISPERWOOD LN
Mailing Address - Street 2:
Mailing Address - City:ATHENS
Mailing Address - State:GA
Mailing Address - Zip Code:30605-7038
Mailing Address - Country:US
Mailing Address - Phone:706-255-3377
Mailing Address - Fax:
Practice Address - Street 1:11555 MEDLOCK BRIDGE RD
Practice Address - Street 2:
Practice Address - City:JOHNS CREEK
Practice Address - State:GA
Practice Address - Zip Code:30097-1564
Practice Address - Country:US
Practice Address - Phone:770-927-7800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-04-12
Last Update Date:2025-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst