Heather Ballingham
Individual provider Active NPI Mental Health Counselor · Providence, UT
NPI 1104368182 · NPPES record last updated Nov 8, 2016
Key facts
- NPI
- 1104368182
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 10121291-6009 (UT)
- Practice address
- 277 N Spring Creek Pkwy
Providence, UT 84332-9775 - Phone
- (435) 753-0253
- NPI assigned
- Nov 8, 2016
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10121291-6009 | UT | MD | Mental Health Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 10121291-6009 | UT | Yes |
Addresses
Primary practice location
277 N Spring Creek Pkwy
Providence, UT 84332-9775
Mailing address
277 N Spring Creek Pkwy
Providence, UT 84332-9775
Phone (435) 753-0253
Other providers in Providence, UT
- At Home Dermatology PLLC
- Thomas E. Atkin Psy.D.D.
- Michael J Austin
- Back at Work of Utah LLC
- Katie Ball
- Ethan Bates
- Roxene Bates
- Brevan B Baugh
- Bear Lake Community Health Center, Inc.
- Rebekah Jane Bednar
All providers in Providence, UT · Mental Health Counselor in Utah
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 8, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.