Healthcare Provider Details

I. General information

NPI: 1861646457
Provider Name (Legal Business Name): HEATHER L. STIRIZ LPCC-S
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/09/2008
Last Update Date: 06/01/2023
Certification Date: 04/06/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1895 OAKWOOD AVE
NAPOLEON OH
43545-9243
US

IV. Provider business mailing address

1895 OAKWOOD AVE
NAPOLEON OH
43545-9243
US

V. Phone/Fax

Practice location:
  • Phone: 567-455-7501
  • Fax: 419-924-2061
Mailing address:
  • Phone: 567-455-7501
  • Fax: 419-924-2061

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberE4046-SUPV
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: