Provider Demographics
NPI:1154546273
Name:PRICE, HEATHER WHITNEY (MS, LCPC, LCADC)
Entity type:Individual
Prefix:MS
First Name:HEATHER
Middle Name:WHITNEY
Last Name:PRICE
Suffix:
Gender:F
Credentials:MS, LCPC, LCADC
Other - Prefix:MS
Other - First Name:HEATHER
Other - Middle Name:JOANQ
Other - Last Name:WHITNEY PRICE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MS, LCPC, LCADC
Mailing Address - Street 1:122 LANGLEY RD N
Mailing Address - Street 2:SUITE B
Mailing Address - City:GLEN BURNIE
Mailing Address - State:MD
Mailing Address - Zip Code:21060-6539
Mailing Address - Country:US
Mailing Address - Phone:410-222-0100
Mailing Address - Fax:410-222-0116
Practice Address - Street 1:122 LANGLEY RD N
Practice Address - Street 2:SUITE B
Practice Address - City:GLEN BURNIE
Practice Address - State:MD
Practice Address - Zip Code:21060-6539
Practice Address - Country:US
Practice Address - Phone:410-222-0100
Practice Address - Fax:410-222-0116
Is Sole Proprietor?:No
Enumeration Date:2007-04-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLCA132101YA0400X
MDLC0909101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Not Answered101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional