Provider Demographics
NPI:1215429154
Name:MUHAMMAD, HEATH (LPC)
Entity type:Individual
Prefix:
First Name:HEATH
Middle Name:
Last Name:MUHAMMAD
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:413 SWENSON FARMS BLVD APT 1135
Mailing Address - Street 2:
Mailing Address - City:PFLUGERVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78660-5914
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:595 ROUND ROCK WEST DR STE 304
Practice Address - Street 2:
Practice Address - City:ROUND ROCK
Practice Address - State:TX
Practice Address - Zip Code:78681-5030
Practice Address - Country:US
Practice Address - Phone:512-967-0931
Practice Address - Fax:512-883-5024
Is Sole Proprietor?:Yes
Enumeration Date:2018-06-06
Last Update Date:2023-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional