Healthcare Provider Details

I. General information

NPI: 1225739907
Provider Name (Legal Business Name): JAMI HEFFLEY LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/10/2023
Last Update Date: 03/10/2023
Certification Date: 03/10/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8029 BROADLAWN DR
PITTSBURGH PA
15237-4152
US

IV. Provider business mailing address

8029 BROADLAWN DR
PITTSBURGH PA
15237-4152
US

V. Phone/Fax

Practice location:
  • Phone: 412-418-4526
  • Fax:
Mailing address:
  • Phone: 412-418-4526
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number012980
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: