Heather Dillard, LPC

Individual provider Active NPI Counselor · Plainview, TX

NPI 1770040537 · NPPES record last updated Feb 27, 2019

Key facts

NPI
1770040537
Entity type
Individual (NPI type 1)
Primary specialty
Counselor 101Y00000X
License
68480 (TX)
Practice address
3109 Olton Rd Ste 103
Plainview, TX 79072-6763
Phone
(806) 577-0837
NPI assigned
Feb 27, 2019
Sex
Female
Sole proprietor
Yes

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
68480TXMDCounselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 68480 TX Yes

Addresses

Primary practice location

3109 Olton Rd Ste 103
Plainview, TX 79072-6763

Mailing address

3109 Olton Rd # 5053
Plainview, TX 79072-6763
Phone (806) 577-0837

Other providers in Plainview, TX

All providers in Plainview, TX · Counselor in Texas

Sources for this page

Verify at the official NPI Registry.