Provider Demographics
NPI:1861883019
Name:TEATER, HEATHER ANN (NCC, LPCA)
Entity type:Individual
Prefix:MRS
First Name:HEATHER
Middle Name:ANN
Last Name:TEATER
Suffix:
Gender:F
Credentials:NCC, LPCA
Other - Prefix:
Other - First Name:HEATHER
Other - Middle Name:ANN
Other - Last Name:MYERS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:7 WREN WAY DR
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28803-1362
Mailing Address - Country:US
Mailing Address - Phone:336-707-3655
Mailing Address - Fax:
Practice Address - Street 1:131 MCDOWELL ST
Practice Address - Street 2:SUITE 300
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28801-4453
Practice Address - Country:US
Practice Address - Phone:828-785-1889
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-02-10
Last Update Date:2015-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCA11296101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional