Individual
HEATHER SHY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
230 W CENTER ST, FAYETTEVILLE, AR 72701-5934
(479) 790-9571
(479) 442-7112
Mailing address
2400 S 48TH ST, SPRINGDALE, AR 72762-6683
(479) 750-2020
(479) 750-4843
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
A1206047
AR
101YM0800X
Mental Health Counselor
A1206047
AR
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
P1610154
AR
Other
Enumeration date
08/15/2012
Last updated
08/31/2021
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