Provider Demographics
NPI:1285761015
Name:HEFFERNAN, DEBORAH ANN (LPC,LMFT,LAC)
Entity type:Individual
Prefix:MS
First Name:DEBORAH
Middle Name:ANN
Last Name:HEFFERNAN
Suffix:
Gender:F
Credentials:LPC,LMFT,LAC
Other - Prefix:PROF
Other - First Name:NEW PROSPECTS COUNSE
Other - Middle Name:
Other - Last Name:NEW PROSPECTS COUNSELING CENTER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:139 N THEARD ST
Mailing Address - Street 2:
Mailing Address - City:COVINGTON
Mailing Address - State:LA
Mailing Address - Zip Code:70433-2831
Mailing Address - Country:US
Mailing Address - Phone:985-875-3195
Mailing Address - Fax:
Practice Address - Street 1:139 N THEARD ST
Practice Address - Street 2:
Practice Address - City:COVINGTON
Practice Address - State:LA
Practice Address - Zip Code:70433-2831
Practice Address - Country:US
Practice Address - Phone:985-875-3195
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LALMFT 991101Y00000X
LA1008101YA0400X
LA3104101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101Y00000XBehavioral Health & Social Service ProvidersCounselor
Not Answered101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Not Answered101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional