Individual
HEATHER TYLER WOOTEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LISW, LICDC
Contact information
Practice address
111 N HIGH ST, WAVERLY, OH 45690-1343
(740) 370-2896
Mailing address
PO BOX 227, WAVERLY, OH 45690-0227
(740) 947-6727
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
120878
OH
101YA0400X
Addiction (Substance Use Disorder) Counselor
161648
OH
101YA0400X
Addiction (Substance Use Disorder) Counselor
162453
OH
104100000X
Social Worker
S.2309305
OH
1041C0700X
Clinical Social Worker
Primary
I.2507486
OH
Other
Enumeration date
11/14/2017
Last updated
01/21/2026
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