Healthcare Provider Details
I. General information
NPI: 1447745989
Provider Name (Legal Business Name): HEATHER ANN HIEB LCPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 06/27/2018
Last Update Date: 10/29/2025
Certification Date: 10/29/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1007 W ORCHARD AVE
NAMPA ID
83651-1878
US
IV. Provider business mailing address
6933 W EMERALD ST
BOISE ID
83704-8616
US
V. Phone/Fax
- Phone: 208-461-2838
- Fax: 208-461-5099
- Phone: 208-703-8728
- Fax: 208-321-1082
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YM0800X |
| Taxonomy | Mental Health Counselor |
| License Number | LCPC |
| License Number State | ID |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 101YM0800X |
| Taxonomy | Mental Health Counselor |
| License Number | |
| License Number State | ID |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: