Lori Heagerty, LMFT | |
1152 S Main St, Lakeport, CA 95453-5517 | |
(707) 263-8795 | |
Not Available |
Full Name | Lori Heagerty |
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Gender | Female |
Speciality | Marriage & Family Therapist |
Location | 1152 S Main St, Lakeport, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1174063556 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
106H00000X | Marriage & Family Therapist | MM19486 (California) | Primary |
Entity Name | Forward Wellness Family Therapy Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093398059 PECOS PAC ID: 9739546144 Enrollment ID: O20230530002815 |
Mailing Address | Practice Location Address |
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Lori Heagerty, LMFT 1152 S Main St, Lakeport, CA 95453-5517 Ph: (707) 263-8795 | Lori Heagerty, LMFT 1152 S Main St, Lakeport, CA 95453-5517 Ph: (707) 263-8795 |
Ms. Patricia Ann Jones, M.F.T. Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1495 Orchid Way, Lakeport, CA 95453 Phone: 707-263-8888 Fax: 707-263-8899 | |
Ms. June Marie Wilson-clarkin, LMFT Couples Therapy Medicare: Medicare Enrolled Practice Location: 200 N Main St Ste-a, Lakeport, CA 95453 Phone: 707-254-5672 Fax: 707-262-0291 | |
Ms. Sally A Riley, MFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1152 S Main St, Lakeport, CA 95453 Phone: 707-263-8795 | |
Ms. Carol Mills Craig, MFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 55 1st St, #221, Lakeport, CA 95453 Phone: 707-513-6332 | |
Mrs. Jacquline Gail Smythe, MFC 43231 Couples Therapy Medicare: Medicare Enrolled Practice Location: 55 1st St # 305i, Lakeport, CA 95453 Phone: 707-349-2586 Fax: 707-274-9192 | |
Lilli Edson, MA Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1152 S Main St, Lakeport, CA 95453 Phone: 707-263-8795 |