Provider Demographics
NPI:1598597759
Name:WILLARD, HEATHER (MA, LMFT-T)
Entity type:Individual
Prefix:
First Name:HEATHER
Middle Name:
Last Name:WILLARD
Suffix:
Gender:
Credentials:MA, LMFT-T
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1619 HIGHTOP TRL
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37923-1118
Mailing Address - Country:US
Mailing Address - Phone:865-216-2300
Mailing Address - Fax:
Practice Address - Street 1:9300 MIDDLEBROOK PIKE
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37931-4703
Practice Address - Country:US
Practice Address - Phone:865-216-2300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-16
Last Update Date:2025-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN2345106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist