Provider Demographics
NPI:1871769661
Name:ANDERSEN, HEIDI LYNN (MS, LPC CEDS)
Entity type:Individual
Prefix:MS
First Name:HEIDI
Middle Name:LYNN
Last Name:ANDERSEN
Suffix:
Gender:F
Credentials:MS, LPC CEDS
Other - Prefix:
Other - First Name:HEIDI
Other - Middle Name:LYNN ANDERSEN
Other - Last Name:HOUSER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, LPC CEDS
Mailing Address - Street 1:134 ONTEORA BLVD
Mailing Address - Street 2:
Mailing Address - City:ASHEVLLE
Mailing Address - State:NC
Mailing Address - Zip Code:28803
Mailing Address - Country:US
Mailing Address - Phone:828-279-7091
Mailing Address - Fax:
Practice Address - Street 1:43 GROVE STREET SUITE 4
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28801
Practice Address - Country:US
Practice Address - Phone:828-279-7091
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-05-01
Last Update Date:2018-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC6917101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional