Provider Demographics
NPI:1285313551
Name:HIGHHOUSE, HEATHER RADLIFF (PHD, LLPC, NCC)
Entity type:Individual
Prefix:DR
First Name:HEATHER
Middle Name:RADLIFF
Last Name:HIGHHOUSE
Suffix:
Gender:F
Credentials:PHD, LLPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2742 BARRINGTON SQ
Mailing Address - Street 2:
Mailing Address - City:AUBURN HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48326-1974
Mailing Address - Country:US
Mailing Address - Phone:313-348-0026
Mailing Address - Fax:
Practice Address - Street 1:51 S WASHINGTON ST STE F
Practice Address - Street 2:
Practice Address - City:OXFORD
Practice Address - State:MI
Practice Address - Zip Code:48371-6418
Practice Address - Country:US
Practice Address - Phone:313-348-0026
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-07-14
Last Update Date:2024-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6401224225101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor