MEDICARE: MRS. HEATHER HARVEY LPC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101Y00000X	Counselor	71157	TX
2	101YP2500X	Professional Counselor	71157	TX

General Provider Information

NPI Number	:	1134573405
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. HEATHER HARVEY LPC

Provider Business Mailing Address
First Line	:	6275 W PLANO PKWY STE 502
Second Line	:
City	:	PLANO
State	:	TX
Zip	:	75093-4907
Country	:	US
Telephone Number	:	945-268-9438
Fax Number	:

Provider Business Practice Location Address
First Line	:	6275 W PLANO PKWY STE 502
Second Line	:
City	:	PLANO
State	:	TX
Zip	:	75093-4907
Country	:	US
Telephone Number	:	194-526-8943
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/22/2016
Last Update Date	:	02/27/2024

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