| Provider / Organization | NPI | Date Certified |
|---|---|---|
| MIKAYLA HESTON | 1780306530 | 2022-09-16 |
Mikayla Heston is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1780306530. Registration indicates Mikayla Heston is a provider of services with a specialization in Other Service Providers, Community Health Worker (Community Health Worker, ) (Community Health Worker, Other Service Providers)
| Entity Type | Individual |
| Provider Name | Mikayla Heston |
| Practice Office Address | 200 ASSOCIATION DR STE 130 CHARLESTON, WV US |
| Practice Office Telephone | 3049884200 |
| Mailing Address | 200 ASSOCIATION DR STE 130 CHARLESTON, WV 253111277 US |
| Business Telephone | 3049884200 |
| Code | Practice | License No State |
|---|---|---|
| 172V00000X PRIMARY | Other Service Providers Community Health Worker Community Health Worker Community Health Worker Other Service Providers |