Provider Demographics
NPI:1881749570
Name:BURTON, HEATHER M (LCSW)
Entity type:Individual
Prefix:
First Name:HEATHER
Middle Name:M
Last Name:BURTON
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3813 MARTIN AVE
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78504-5907
Mailing Address - Country:US
Mailing Address - Phone:956-566-4162
Mailing Address - Fax:956-686-8445
Practice Address - Street 1:4313 N 10TH ST
Practice Address - Street 2:SUITE F
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78504-3061
Practice Address - Country:US
Practice Address - Phone:956-566-4162
Practice Address - Fax:956-686-8445
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX402161041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical