Healthcare Provider Details

I. General information

NPI: 1578051322
Provider Name (Legal Business Name): HEATHER DIGGS MS, LMSW,CCS, CAADC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/27/2018
Last Update Date: 07/24/2026
Certification Date: 07/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3188 SUMNER RD
BOYNE CITY MI
49712-8809
US

IV. Provider business mailing address

3188 SUMNER RD
BOYNE CITY MI
49712-8809
US

V. Phone/Fax

Practice location:
  • Phone: 231-350-2903
  • Fax:
Mailing address:
  • Phone: 231-350-2903
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number6801122439
License Number StateMI
# 2
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License NumberC-03837
License Number StateMI
# 3
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLCSW-23942
License Number StateAZ
# 4
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License NumberLCSW-23942
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: