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NPI Code Detail

MEDICARE: HEATHER GOODMAN-D'ANNA LPC

MEDICARE: HEATHER GOODMAN-D'ANNA LPC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional Counselor5685LA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
15685OTHERLALPC

General Provider Information

NPI Number : 1801260039
Entity Type Code : Individual
Provider Name (Legal Business Name) : HEATHER GOODMAN-D'ANNA LPC
Provider Business Mailing Address
First Line : 1509 SUBURBIA DR
Second Line :
City : SHREVEPORT
State : LA
Zip : 71105-5021
Country : US
Telephone Number : 318-963-0029
Fax Number :
Provider Business Practice Location Address
First Line : 3825 GILBERT DR STE 106
Second Line :
City : SHREVEPORT
State : LA
Zip : 71104-5000
Country : US
Telephone Number : 318-963-0029
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/27/2015
Last Update Date : 01/02/2026

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Directions to “ HEATHER GOODMAN-D'ANNA LPC” Practice Location

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