Individual
JAMIE HEAVEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.P.C.
Contact information
Practice address
718 N BUCKNER BLVD, SUITE #336, DALLAS, TX 75218-2700
(214) 660-0987
(214) 660-0137
Mailing address
381 CASA LINDA PLZ, SUITE 170, DALLAS, TX 75218-3423
(214) 660-0987
(214) 660-0137
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
19369
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7068LC
BLUE CROSS BLUE SHIELD
TX
Enumeration date
11/20/2005
Last updated
07/08/2007
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