MEDICARE: MS. HEATHER BOOHER MFTA

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	106H00000X	Marriage & Family Therapist	299584	KY

General Provider Information

NPI Number	:	1619829322
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. HEATHER BOOHER MFTA

Provider Business Mailing Address
First Line	:	304 E 1ST AVE
Second Line	:
City	:	FRANKLIN
State	:	KY
Zip	:	42134-8620
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	304 E 1ST AVE
Second Line	:
City	:	FRANKLIN
State	:	KY
Zip	:	42134-8620
Country	:	US
Telephone Number	:	717-386-0690
Fax Number	:

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

Provider Enumeration Date	:	02/13/2026
Last Update Date	:	02/13/2026

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