Elizabeth C Heagle, LMHC
Individual provider Active NPI Mental Health Counselor · Scotia, NY
NPI 1780937490 · NPPES record last updated Oct 18, 2012
Key facts
- NPI
- 1780937490
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 001916-1 (NY)
- Practice address
- 409 Vley Rd
Scotia, NY 12302-2607 - Phone
- (518) 366-0133
- NPI assigned
- Oct 18, 2012
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 001916-1 | NY | MD | Mental Health Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 001916-1 | NY | Yes |
Addresses
Primary practice location
409 Vley Rd
Scotia, NY 12302-2607
Mailing address
409 Vley Rd
Scotia, NY 12302-2607
Phone (518) 366-0133
Other names
- Elizabeth C Heagle
Other providers in Scotia, NY
- Diane E Grabo
- Handi -Van, Inc.
- Handi-Van, Inc
- Maureen K. Hansen
- Christina Harrington Stutzmann
- Virginia Louise Hemmerle
- Mary Hendrickson
- Richard Jay Hoskinson
- Thomas Joseph Houghtalen
- Katie J Hunter
All providers in Scotia, NY · Mental Health Counselor in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 18, 2012. 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.