Provider Demographics
NPI:1649522608
Name:PARLIN, HEATHER DANIELLE (LCPC)
Entity type:Individual
Prefix:MS
First Name:HEATHER
Middle Name:DANIELLE
Last Name:PARLIN
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:325 MAIN ST
Mailing Address - Street 2:SUITE 2
Mailing Address - City:YARMOUTH
Mailing Address - State:ME
Mailing Address - Zip Code:04096-7948
Mailing Address - Country:US
Mailing Address - Phone:207-245-8691
Mailing Address - Fax:207-221-1036
Practice Address - Street 1:325 MAIN ST
Practice Address - Street 2:SUITE 2
Practice Address - City:YARMOUTH
Practice Address - State:ME
Practice Address - Zip Code:04096-7948
Practice Address - Country:US
Practice Address - Phone:207-245-8691
Practice Address - Fax:207-221-1036
Is Sole Proprietor?:Yes
Enumeration Date:2012-10-15
Last Update Date:2022-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEXL4010101YM0800X
MECC4431101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health