Healthcare Provider Details

I. General information

NPI: 1144790510
Provider Name (Legal Business Name): HEATHER LEONE LOFINK LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: HEATHER LEONE SZEGDA

II. Dates (important events)

Enumeration Date: 11/28/2018
Last Update Date: 09/24/2020
Certification Date: 09/24/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

125 HIGH ROCK AVE SPARC
SARATOGA NY
12866-2307
US

IV. Provider business mailing address

125 HIGH ROCK AVE SPARC
SARATOGA NY
12866-2307
US

V. Phone/Fax

Practice location:
  • Phone: 518-885-6884
  • Fax:
Mailing address:
  • Phone: 518-885-6884
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: