Provider Demographics
NPI:1104966936
Name:BRINKLEY, HEATHER M (NCC, LPC-MHSP)
Entity type:Individual
Prefix:MRS
First Name:HEATHER
Middle Name:M
Last Name:BRINKLEY
Suffix:
Gender:F
Credentials:NCC, LPC-MHSP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7778 BROWN DR
Mailing Address - Street 2:
Mailing Address - City:WHITE HOUSE
Mailing Address - State:TN
Mailing Address - Zip Code:37188-5133
Mailing Address - Country:US
Mailing Address - Phone:615-394-1797
Mailing Address - Fax:615-230-8982
Practice Address - Street 1:7778 BROWN DR
Practice Address - Street 2:
Practice Address - City:WHITE HOUSE
Practice Address - State:TN
Practice Address - Zip Code:37188-5133
Practice Address - Country:US
Practice Address - Phone:615-394-1797
Practice Address - Fax:615-230-8982
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNLPC00000001958101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health