Healthcare Provider Details

I. General information

NPI: 1912403213
Provider Name (Legal Business Name): HEATHER DAWN HERPIN LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/04/2018
Last Update Date: 09/10/2026
Certification Date: 09/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8387 NEWFIELD DR STE A
LIVONIA LA
70755-3605
US

IV. Provider business mailing address

112 TELLY ST
NEW ROADS LA
70760-2521
US

V. Phone/Fax

Practice location:
  • Phone: 225-412-0404
  • Fax: 225-412-0366
Mailing address:
  • Phone: 225-618-5015
  • Fax: 225-442-3107

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number100567
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number7528
License Number StateLA
# 3
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number100567
License Number StateTX
# 4
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number7528
License Number StateLA
# 5
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number7528
License Number StateLA
# 6
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number100567
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: