Individual
HEATHER REBECCA PANTALONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
3309 VINEYARD TRL, HARKER HEIGHTS, TX 76548-8847
(555) 555-5555
Mailing address
PO BOX 507, NOLANVILLE, TX 76559-0507
(254) 415-8466
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
27274
TX
103T00000X
Psychologist
40905
TX
103TC0700X
Clinical Psychologist
40905
TX
104100000X
Social Worker
Primary
63951
TX
1041C0700X
Clinical Social Worker
Primary
63951
TX
1041C0700X
Clinical Social Worker
LCSW-5305
HI
1041C0700X
Clinical Social Worker
LICSW126773
MA
Other
Enumeration date
08/18/2017
Last updated
03/27/2026
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