Provider Demographics
NPI:1992190896
Name:CARVER, HEATHER (LPC-MHSP)
Entity type:Individual
Prefix:
First Name:HEATHER
Middle Name:
Last Name:CARVER
Suffix:
Gender:F
Credentials:LPC-MHSP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2990 WESTSIDE DR NW
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:TN
Mailing Address - Zip Code:37312-3506
Mailing Address - Country:US
Mailing Address - Phone:423-458-1870
Mailing Address - Fax:423-458-1871
Practice Address - Street 1:2990 WESTSIDE DR NW
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:TN
Practice Address - Zip Code:37312-3506
Practice Address - Country:US
Practice Address - Phone:423-458-1870
Practice Address - Fax:423-458-1871
Is Sole Proprietor?:No
Enumeration Date:2015-03-30
Last Update Date:2025-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCA11566101YP2500X
TN3821101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional