Heidi L Southern, MA, LPC - Counselor in Sierra Vista, AZ

Heidi L Southern, MA, LPC is a Counselor - Professional based in Sierra Vista, Arizona. Heidi L Southern is licensed to practice in Texas (license number 65482) and her current practice location is 1201 Colombo Ave Apt 5201, Sierra Vista, Arizona. She can be reached at her office (for appointments etc.) via phone at (469) 955-6579.

NPI number for Heidi L Southern is 1629369384 and her current mailing address is 1201 Colombo Ave Apt 5201, Sierra Vista, Arizona. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1629369384.

Contact Information

Heidi L Southern, MA, LPC
1201 Colombo Ave Apt 5201,
Sierra Vista, AZ 85635-5310
(469) 955-6579
Not Available

Map and Direction


Healthcare Provider's Profile

Full NameHeidi L Southern
GenderFemale
SpecialityCounselor - Professional
Location1201 Colombo Ave Apt 5201, Sierra Vista, Arizona
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1629369384
  • Provider Enumeration Date: 04/28/2011
  • Last Update Date: 12/21/2020

Medical Identifiers

Medical identifiers for Heidi L Southern such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1629369384NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101Y00000XCounselor 65482 (Texas)Secondary
101YM0800XCounselor - Mental Health 65482 (Texas)Secondary
101YP2500XCounselor - Professional 19369 (Arizona)Secondary
103T00000XPsychologist 65482 (Texas)Secondary
103TC1900XPsychologist - Counseling 65482 (Texas)Secondary
171M00000XCase Manager/care Coordinator 65482 (Texas)Secondary
101YP2500XCounselor - Professional 65482 (Texas)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Heidi L Southern is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Heidi L Southern, MA, LPC
1201 Colombo Ave Apt 5201,
Sierra Vista, AZ 85635-5310

Ph: (469) 955-6579
Heidi L Southern, MA, LPC
1201 Colombo Ave Apt 5201,
Sierra Vista, AZ 85635-5310

Ph: (469) 955-6579

Reviews and Comments


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