Provider Demographics
NPI:1134410459
Name:TRIMMER, HEATHER L (LPC)
Entity type:Individual
Prefix:MS
First Name:HEATHER
Middle Name:L
Last Name:TRIMMER
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6516 SENDERO LN
Mailing Address - Street 2:
Mailing Address - City:WOODWAY
Mailing Address - State:TX
Mailing Address - Zip Code:76712-7576
Mailing Address - Country:US
Mailing Address - Phone:254-644-4843
Mailing Address - Fax:
Practice Address - Street 1:6516 SENDERO LN
Practice Address - Street 2:
Practice Address - City:WOODWAY
Practice Address - State:TX
Practice Address - Zip Code:76712-7576
Practice Address - Country:US
Practice Address - Phone:254-644-4843
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-20
Last Update Date:2016-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX71539101YM0800X
WAMC60219466101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAMC60219466OtherSTATE LICENSE