Provider Demographics
NPI:1134360886
Name:BIRR, HEATHER L (LPCC-S)
Entity type:Individual
Prefix:
First Name:HEATHER
Middle Name:L
Last Name:BIRR
Suffix:
Gender:F
Credentials:LPCC-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:112 GAMEKEEPERS LN
Mailing Address - Street 2:
Mailing Address - City:LOVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:45140-5433
Mailing Address - Country:US
Mailing Address - Phone:513-578-5750
Mailing Address - Fax:
Practice Address - Street 1:112 GAMEKEEPERS LN
Practice Address - Street 2:
Practice Address - City:LOVELAND
Practice Address - State:OH
Practice Address - Zip Code:45140-5433
Practice Address - Country:US
Practice Address - Phone:513-578-5750
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-03-10
Last Update Date:2022-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
E-0800117-SUPV101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH030383OtherCERTIFICATE NUMBER