Healthcare Provider Details

I. General information

NPI: 1356654230
Provider Name (Legal Business Name): HEATHER MICHELLE CAWTHON PH.D.,LPC-S
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/20/2010
Last Update Date: 08/29/2025
Certification Date: 08/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3600 ELDORADO PKWY STE 3
MCKINNEY TX
75070-3793
US

IV. Provider business mailing address

1800 E DEBBIE LN
MANSFIELD TX
76063-3336
US

V. Phone/Fax

Practice location:
  • Phone: 469-877-3291
  • Fax:
Mailing address:
  • Phone: 972-264-0604
  • Fax: 972-264-9998

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number63776
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: