Heather Kiernan, M.S.

Individual provider Active NPI Mental Health Counselor · Okeechobee, FL

NPI 1700183191 · NPPES record last updated Jul 28, 2022

Key facts

NPI
1700183191
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
Practice address
3651 SE 136TH Ave
Okeechobee, FL 34974
Phone
(901) 609-5030
NPI assigned
Feb 21, 2011
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
New Avenue Counseling Mental Health Current
since Dec 8, 2024
Accepting new patients

Locations

1910 Madison Ave
Memphis, TN 38104
Phone (318) 828-2807

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Yes

Addresses

Primary practice location

3651 SE 136TH Ave
Okeechobee, FL 34974

Mailing address

1910 Madison Ave # 2835
Memphis, TN 38104-2620
Phone (901) 609-5030

Other providers in Okeechobee, FL

All providers in Okeechobee, FL · Mental Health Counselor in Florida

Sources for this page

Verify at the official NPI Registry.