Individual
MS. ELIZABETH M. HEASTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
11806 KNOLLLPARK DRIVE, AUSTIN, TX 78758
(512) 825-0564
Mailing address
11806 KNOLLLPARK DRIVE, AUSTIN, TX 78758
(512) 825-0564
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
29321
TX
101YA0400X
Addiction (Substance Use Disorder) Counselor
29321
TX
101YM0800X
Mental Health Counselor
Primary
29321
TX
104100000X
Social Worker
29321
TX
1041C0700X
Clinical Social Worker
29321
TX
Other
Enumeration date
10/21/2010
Last updated
02/17/2016
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