Heather Taylor Boone
Counselor, Addiction (Substance Use Disorder) in Ruston, LA. Individual provider (NPI-1).
NPI number1972228062
StatusActive
Last updated in NPPESMar 8, 2023
Details
- NPI
- 1972228062
- Entity type
- Individual (NPI-1)
- Name
- Heather Taylor Boone
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 11, 2022
- Certification date
- Mar 8, 2023
- Last updated
- Mar 8, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | – | – | Yes |
| 171M00000X | Case Manager/Care Coordinator | – | – |
Practice location
330 E Vaughn AveRuston, LA 71270-5928
Phone 318-224-7135
Mailing address
533 Rabb RdDubach, LA 71235-3265
Phone 318-497-9077
Other practice locations
829 E Georgia Ave
Ruston, LA 71270-3912
Ruston, LA 71270-3912
Phone 318-242-0730
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