Provider Demographics
NPI:1104099696
Name:DORAN, HEIDI (LMFT, LLP, LLPC)
Entity type:Individual
Prefix:
First Name:HEIDI
Middle Name:
Last Name:DORAN
Suffix:
Gender:F
Credentials:LMFT, LLP, LLPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1299 LAMPLIGHTER LN
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48306-4239
Mailing Address - Country:US
Mailing Address - Phone:248-505-6289
Mailing Address - Fax:
Practice Address - Street 1:71 WALNUT BLVD STE 109
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:MI
Practice Address - Zip Code:48307-2073
Practice Address - Country:US
Practice Address - Phone:231-794-1447
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-04-07
Last Update Date:2022-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4101007252106H00000X
MI6361004204103T00000X
MI6451022146101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health