Provider Demographics
NPI:1881720159
Name:HEYBURN, ANNE BROWN (MED LPC)
Entity type:Individual
Prefix:MRS
First Name:ANNE
Middle Name:BROWN
Last Name:HEYBURN
Suffix:
Gender:F
Credentials:MED LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:39 STILLFOREST ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77024-7518
Mailing Address - Country:US
Mailing Address - Phone:713-266-9630
Mailing Address - Fax:713-783-2459
Practice Address - Street 1:2323 S VOSS RD STE 420
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77057-3814
Practice Address - Country:US
Practice Address - Phone:713-782-3699
Practice Address - Fax:713-783-2459
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX20057101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional