Provider Demographics
NPI:1306099106
Name:ABREU, HEATHER (LMHC, CRC)
Entity type:Individual
Prefix:MISS
First Name:HEATHER
Middle Name:
Last Name:ABREU
Suffix:
Gender:F
Credentials:LMHC, CRC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:387 TENNYSON DR
Mailing Address - Street 2:
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10312-6504
Mailing Address - Country:US
Mailing Address - Phone:347-264-6188
Mailing Address - Fax:
Practice Address - Street 1:100 ROBINSON AVE
Practice Address - Street 2:
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10312-6523
Practice Address - Country:US
Practice Address - Phone:347-264-6188
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-10-24
Last Update Date:2008-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY18000565101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health