Provider Demographics
NPI:1881617942
Name:ROBINSON, HEATHER ANNE (LPC, MAC)
Entity type:Individual
Prefix:MRS
First Name:HEATHER
Middle Name:ANNE
Last Name:ROBINSON
Suffix:
Gender:
Credentials:LPC, MAC
Other - Prefix:
Other - First Name:HEATHER
Other - Middle Name:ANNE
Other - Last Name:MCPHEETERS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPC, MAC
Mailing Address - Street 1:402 ALTER RD
Mailing Address - Street 2:
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48215-3105
Mailing Address - Country:US
Mailing Address - Phone:571-361-8696
Mailing Address - Fax:
Practice Address - Street 1:ROEMERSTRASSE 104
Practice Address - Street 2:ZIMMER 320
Practice Address - City:HEIDELBERG
Practice Address - State:GERMANY
Practice Address - Zip Code:69115
Practice Address - Country:DE
Practice Address - Phone:49622-116-3912
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-26
Last Update Date:2025-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK501929101YA0400X
OK1897171000000X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No171000000XOther Service ProvidersMilitary Health Care Provider