MRS. Carol Sue Heavin, LAC, TA

NPI #1154964872 in Mabelvale, Arkansas

Provider Information

NPI Number: 1154964872
Entity Type: Individual
Name: MRS. Carol Sue Heavin, LAC, TA
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor - Mental Health
Credential: LAC, TA
Enumeration Date: Oct 25, 2019
Last Updated: Oct 25, 2019

Practice Location

Address: 10500 WOODMAN ST
City: Mabelvale
State: Arkansas
ZIP Code: 72103-1789
Phone: (501) 247-1456

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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