Mrs Carol Sue Heavin, LAC, TA is a
Counselor - Mental Health based in Mabelvale, Arkansas. Mrs Carol Sue Heavin is licensed to practice in Arkansas (license number A1707234) and her current practice location is
10500 Woodman St, Mabelvale, Arkansas. She can be reached at her office (for appointments etc.) via phone at
(501) 247-1456.
NPI number for Mrs Carol Sue Heavin is 1154964872 and her current mailing address is 11201 Heinke Rd, Mabelvale, Arkansas. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1154964872.
Healthcare Provider's Profile
Full Name | Mrs Carol Sue Heavin |
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Gender | Female |
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Speciality | Counselor - Mental Health |
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Location | 10500 Woodman St, Mabelvale, Arkansas |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1154964872
- Provider Enumeration Date: 10/25/2019
- Last Update Date: 10/25/2019
Medical Identifiers
Medical identifiers for Mrs Carol Sue Heavin such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1154964872 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | A1707234 (Arkansas) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Carol Sue Heavin is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mrs Carol Sue Heavin, LAC, TA 11201 Heinke Rd, Mabelvale, AR 72103-2048 Ph: (501) 455-5793 | Mrs Carol Sue Heavin, LAC, TA 10500 Woodman St, Mabelvale, AR 72103-1789 Ph: (501) 247-1456 |
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