Individual
MS. HEATHER IRVIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS,PMHP, PMSW
Contact information
Practice address
207 GALVIN RD N, BELLEVUE, NE 68005-4898
(402) 940-7387
(402) 702-0538
Mailing address
207 GALVIN RD N, BELLEVUE, NE 68005-4898
(402) 940-7387
(402) 702-0538
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
13733
NE
1041C0700X
Clinical Social Worker
131765
IA
1041C0700X
Clinical Social Worker
7964
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100281929001
—
NE
05
—
10028613702
—
NE
05
—
10029553600
—
NE
Enumeration date
12/28/2023
Last updated
03/17/2026
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