Individual
MRS. CAROLYN SUE HEATH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
47 W POMFRET ST, CARLISLE, PA 17013-3217
(717) 258-0214
(717) 258-3158
Mailing address
47 W POMFRET ST, CARLISLE, PA 17013-3217
(717) 258-0214
(717) 258-3158
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
014772
PA
101YP1600X
Pastoral Counselor
014772
PA
104100000X
Social Worker
014772
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1012248330001
—
PA
01
—
128194
VALUE OPTIONS
PA
01
—
195761000
MAGELLAN
PA
01
—
2033298
CIGNA
PA
01
—
250976
COMPSYCH
PA
01
—
50047763
CAPITAL BLUE CROSS
PA
01
—
810554001
AETNA
PA
Enumeration date
08/09/2005
Last updated
03/11/2010
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