Healthcare Provider Details

I. General information

NPI: 1497211601
Provider Name (Legal Business Name): HEATHER NICOLE SEXTON PH.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/12/2019
Last Update Date: 08/15/2023
Certification Date: 07/26/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

146 W MAIN ST
SAINT CLAIRSVILLE OH
43950-1225
US

IV. Provider business mailing address

10 DEERHAVEN DR
WHEELING WV
26003-9719
US

V. Phone/Fax

Practice location:
  • Phone: 304-905-5501
  • Fax:
Mailing address:
  • Phone: 304-905-5501
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberE.2203103
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: