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NPI Code Detail

MEDICARE: MRS. HEATHER R PROSPERI LPCC-S

MEDICARE: MRS. HEATHER R PROSPERI LPCC-S
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
1101YP2500XProfessional CounselorE0800322SUPVOH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1770804874
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. HEATHER R PROSPERI LPCC-S
Provider Business Mailing Address
First Line : 625 CLEVELAND AVE NW
Second Line :
City : CANTON
State : OH
Zip : 44702-1805
Country : US
Telephone Number : 330-455-0374
Fax Number : 330-453-6716
Provider Business Practice Location Address
First Line : 130 1ST ST NW
Second Line :
City : MASSILLON
State : OH
Zip : 44647-5452
Country : US
Telephone Number : 330-833-0234
Fax Number : 330-837-7705
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/13/2010
Last Update Date : 11/03/2022

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Directions to “ MRS. HEATHER R PROSPERI LPCC-S” Practice Location

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