Provider Demographics
NPI:1427719368
Name:HEBERT, HEATHER RENAE (MA, LMFT-A)
Entity type:Individual
Prefix:MRS
First Name:HEATHER
Middle Name:RENAE
Last Name:HEBERT
Suffix:
Gender:F
Credentials:MA, LMFT-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1300 CEDAR LAKE DR
Mailing Address - Street 2:
Mailing Address - City:PROSPER
Mailing Address - State:TX
Mailing Address - Zip Code:75078-8386
Mailing Address - Country:US
Mailing Address - Phone:121-453-7307
Mailing Address - Fax:
Practice Address - Street 1:9555 LEBANON RD STE 602
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75035-6084
Practice Address - Country:US
Practice Address - Phone:469-362-8004
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-01-03
Last Update Date:2022-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX204346101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional