Provider Demographics
NPI:1871743096
Name:DENNIS, HEIDI ELIZABETH (LPC)
Entity type:Individual
Prefix:
First Name:HEIDI
Middle Name:ELIZABETH
Last Name:DENNIS
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1407 SW EDINBURGH AVE
Mailing Address - Street 2:
Mailing Address - City:BENTONVILLE
Mailing Address - State:AR
Mailing Address - Zip Code:72713-7700
Mailing Address - Country:US
Mailing Address - Phone:479-531-6528
Mailing Address - Fax:
Practice Address - Street 1:808 S WALTON BLVD STE 2
Practice Address - Street 2:
Practice Address - City:BENTONVILLE
Practice Address - State:AR
Practice Address - Zip Code:72712-6235
Practice Address - Country:US
Practice Address - Phone:479-531-6528
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-09-24
Last Update Date:2025-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor