Healthcare Provider Details

I. General information

NPI: 1881617942
Provider Name (Legal Business Name): HEATHER ANNE ROBINSON LPC, MAC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: HEATHER ANNE MCPHEETERS LPC, MAC

II. Dates (important events)

Enumeration Date: 07/26/2006
Last Update Date: 02/28/2025
Certification Date: 02/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

ROEMERSTRASSE 104 ZIMMER 320
HEIDELBERG GERMANY
69115
DE

IV. Provider business mailing address

402 ALTER RD
DETROIT MI
48215-3105
US

V. Phone/Fax

Practice location:
  • Phone: 496221163912
  • Fax:
Mailing address:
  • Phone: 571-361-8696
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number501929
License Number StateOK
# 2
Primary TaxonomyN
Taxonomy Code171000000X
TaxonomyMilitary Health Care Provider
License Number1897
License Number StateOK
# 3
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number1897
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: