Southern, Heidi L

Southern, Heidi L is an individual health care provider with primary practice located at 1201 Colombo Ave Apt 5201 , Sierra Vista AZ 85635-5310. She recently has 6 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Counseling, Other Service Providers / Case Manager/Care Coordinator. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Southern, Heidi L can be contacted via phone (469) 955-6579.

Contact Information

Primary practice address
1201 Colombo Ave Apt 5201 Sierra Vista AZ 85635-5310
Phone: (469) 955-6579
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X 65482 Texas
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 65482 Texas
Behavioral Health & Social Service Providers / Professional 101YP2500X 19369 Arizona
Behavioral Health & Social Service Providers / Psychologist 103T00000X 65482 Texas
Behavioral Health & Social Service Providers / Counseling 103TC1900X 65482 Texas
Other Service Providers / Case Manager/Care Coordinator 171M00000X 65482 Texas
Behavioral Health & Social Service Providers / Professional 101YP2500X 65482 Texas

Profile Details

NPI number 1629369384
LBN Legal business name Southern, Heidi L
Credentials M.A., LPC
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 28th, 2011
Last updated Dec 21st, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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