| Provider / Organization | NPI | Date Certified |
|---|---|---|
| HEATHER MENASCO | 1619556990 | 2024-01-06 |
Heather Menasco is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1619556990. Registration indicates Heather Menasco is a provider of access to mental health/behavioral health providers services with a specialization in Behavioral Health & Social Service Providers, Social Worker (Behavioral Health & Social Service Providers, Social Worker) (Social Worker: Clinical, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Social Worker Clinical, Behavioral Health & Social Service Providers) (Social Worker, ) Access to Mental Health/Behavioral Health Providers (Behavioral Health & Social Service Providers, Social Worker) (Behavioral Health & Social Service Providers, Social Worker) (Social Worker: Clinical, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Social Worker Clinical, Behavioral Health & Social Service Providers) (Social Worker, )
| Entity Type | Individual |
| Provider Name | Heather Menasco LCSW |
| Practice Office Address | 9311 PRIMROSE AVE LUBBOCK, TX US |
| Practice Office Telephone | 8069394883 |
| Practice Office Fax | 8066425506 |
| Mailing Address | 9311 PRIMROSE AVE LUBBOCK, TX 794247700 US |
| Business Telephone | 8069394883 |
| Address | City / State | Phone / Fax |
|---|---|---|
| 4412 74th St Ste F100 | Lubbock, TX 794242316 | 8066865865 605 / 3122607996 |
| Code | Practice | License No State |
|---|---|---|
| 1041C0700X | Access to Mental Health/Behavioral Health Providers Behavioral Health & Social Service Providers Social Worker Behavioral Health & Social Service Providers Social Worker Social Worker: Clinical Behavioral Health/Substance Abuse/Psychiatry Social Worker Clinical Behavioral Health & Social Service Providers Social Worker | |
| 1041C0700X PRIMARY | Access to Mental Health/Behavioral Health Providers Behavioral Health & Social Service Providers Social Worker Behavioral Health & Social Service Providers Social Worker Social Worker: Clinical Behavioral Health/Substance Abuse/Psychiatry Social Worker Clinical Behavioral Health & Social Service Providers Social Worker | 34741
TX |