Provider Demographics
NPI:1972900140
Name:HESS, HEATHER
Entity type:Individual
Prefix:DR
First Name:HEATHER
Middle Name:
Last Name:HESS
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:HEATHER
Other - Middle Name:
Other - Last Name:CHATEAUVERT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA
Mailing Address - Street 1:4582 W RIVER DR NE STE C
Mailing Address - Street 2:
Mailing Address - City:COMSTOCK PARK
Mailing Address - State:MI
Mailing Address - Zip Code:49321-8941
Mailing Address - Country:US
Mailing Address - Phone:734-604-2842
Mailing Address - Fax:
Practice Address - Street 1:4582 W RIVER DR NE STE C
Practice Address - Street 2:
Practice Address - City:COMSTOCK PARK
Practice Address - State:MI
Practice Address - Zip Code:49321-8941
Practice Address - Country:US
Practice Address - Phone:734-604-2842
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-12-03
Last Update Date:2025-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6351003943103T00000X
MI6301016172103T00000X
MI6301019224103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI3434247Medicaid