LAURA K HEFFERNAN


Address: 372 Arbor Lakes Dr, Davenport, FL 33896-8170
Phone: 6307098820

LAURA K HEFFERNAN (NPI# 1255944526) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1255944526
Entity Type Individual
Full Name LAURA K HEFFERNAN
Credential MA, LCPC, LMHC
Practice Address 372 Arbor Lakes Dr
Davenport
FL 33896-8170
Practice Telephone 6307098820
Mailing Telephone 6307098820
Enumeration Date 2020-08-26
Last Update Date 2020-08-26
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 101YM0800X Counselor
Specialization: Mental Health
180.010352 IL Behavioral Health & Social Service Providers
Y 101YM0800X Counselor
Specialization: Mental Health
MH16779 FL Behavioral Health & Social Service Providers

Other Providers LAURA HEFFERNAN

NPI Name Taxonomy Address Enumeration
1487014775 Laura Boeschen Heffernan Psychologist 1308 Main St Ste 115, Saint Helena, CA 94574-1947 2016-02-29

Office Location

Street Address 372 ARBOR LAKES DR
City DAVENPORT
State FL
Zip Code 33896-8170

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1891176160 Annissa Michael Dentist 7551 Osceola Polk Line Road, Davenport, FL 33896 2015-06-12
1780081869 Legends Dermatology, LLC Dermatology 1497 Legends Boulevard, Davenport, FL 33896 2014-12-04
1144661166 Parent Support, LLC Community Based Residential Treatment Facility, Mental Illness 389 Sand Ridge Dr., Davenport, FL 33896 2013-07-08
1982984498 Ruba Khandakji Pharmacist 1395 Tuscana Lane, Davenport, FL 33896 2011-08-29
1326358029 Sabrina C Pardo Dietitian, Registered 2000 Victoria Park Dr., Apt. 2302, Davenport, FL 33896 2010-10-15
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Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
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1447864269 Angela Snyder Therapy, Plc Counselor 1027 N Marquette St, Davenport, IA 52804-3761 2020-08-31
1073130217 Maritza Paula Counselor 164 Oxford Rd, Davenport, FL 33896-8891 2020-07-04
1952925992 Jan Dumond LLC Counselor 4620 E 53rd St Ste 264, Davenport, IA 52807-3627 2020-06-05
1144875220 Wags for Wellness LLC Counselor 601 Brady St Ste 206, Davenport, IA 52803-5251 2019-08-06
1306300223 Wellness First Counseling Counselor 1706 Brady St Ste 200, Davenport, IA 52803-4708 2019-01-24
1366939142 Quill Counseling Plc Counselor 1820 E 54th St Ste A, Davenport, IA 52807-2797 2018-04-17
1932609070 Samantha J Swanson Counselor 7307 Pacific St, Davenport, IA 52806-1250 2018-02-15
1578071213 Jennifer Mejia Counselor 8020 Tuscany Way, Davenport, FL 33896-5444 2018-01-16
1366959470 Kandis Rose Paskell Counselor 547 Morgan Street, Davenport, WA 99122 2018-01-10
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Competitor

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City DAVENPORT
Zip Code 33896

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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