# HEATHERS COUNSELING SERVICE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1518639285
- **Authorized official:** HEATHER MARIE CONWAY-HAEHN LPCC (COUNSELOR)
- **Authorized official phone:** (320) 247-5202

## Contact information

- **Practice address:** 2700 1ST ST N STE 106B, SAINT CLOUD, MN 56303-4583
- **Practice address phone:** (320) 247-5202
- **Mailing address:** 2700 1ST ST N STE 106B, SAINT CLOUD, MN 56303-4583
- **Mailing address phone:** (320) 247-5202

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |

## Other

- **Enumeration date:** 10/01/2021
- **Last updated:** 12/03/2023
