Organization
COUNSELORHEIDI, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HEIDI L. SOUTHERN (SOLE MEMBER/LPC)
(469) 955-6579
Entity
Organization
Contact information
Practice address
125 E JAMES DR, SIERRA VISTA, AZ 85635-1156
(469) 955-6579
Mailing address
125 E JAMES DR, SIERRA VISTA, AZ 85635-1156
(469) 955-6579
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
12/30/2019
Last updated
03/25/2025
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