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: 07/21/2026
Certification Date: 07/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1002 LESTER ROBERTS DR
BREAUX BRIDGE LA
70517-6626
US

IV. Provider business mailing address

114 LOUIS BAER RD
SCOTT LA
70583-4016
US

V. Phone/Fax

Practice location:
  • Phone: 337-458-5226
  • Fax:
Mailing address:
  • Phone: 337-458-5226
  • Fax:

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: