Healthcare Provider Details

I. General information

NPI: 1972851426
Provider Name (Legal Business Name): WARREN HEARD III LPC, CADC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/15/2012
Last Update Date: 05/27/2026
Certification Date: 05/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

275 STONEGATE RD STE M
ALGONQUIN IL
60102-5614
US

IV. Provider business mailing address

841 N FOREST AVE
BATAVIA IL
60510-2169
US

V. Phone/Fax

Practice location:
  • Phone: 630-947-5746
  • Fax: 630-947-5746
Mailing address:
  • Phone: 630-450-1863
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number178008088
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: