Heise, Larissa

Heise, Larissa is an individual health care provider with primary practice located at 24445 Northwestern Hwy Ste 100 , Southfield MI 48075-2436. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavioral Analyst, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Behavioral Analyst is her primary health care specialty. Heise, Larissa can be contacted via phone (248) 483-7804.

Contact Information

Primary practice address
24445 Northwestern Hwy Ste 100 Southfield MI 48075-2436
Phone: (248) 483-7804
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 1-16-21863 Michigan
Behavioral Health & Social Service Providers / Clinical 1041C0700X 6801096411 Michigan

Profile Details

NPI number 1982010567
LBN Legal business name Heise, Larissa
Credentials LMSW, LBA, BCBA
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 3rd, 2014
Last updated Mar 13th, 2020 - about 5 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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