Heron, Kisha

Heron, Kisha is an individual health care provider with primary practice located at 146 Westwood Dr , Brentwood NY 11717-5721. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Heron, Kisha can be contacted via phone (631) 816-3400.

Contact Information

Primary practice address
146 Westwood Dr Brentwood NY 11717-5721
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 008690 New York

Profile Details

NPI number 1194280594
LBN Legal business name Heron, Kisha
Credentials LMHC
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 10th, 2019
Last updated Feb 10th, 2019 - 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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