Blue Heron Neurofeedback And Counseling
Clinic/Center, Multi-Specialty in Conway, New Hampshire
1669039178- Practice location
- 379 White Mountain Hwy, Conway, NH 03818-4206
- Phone
- 603-356-6400
- Fax
- 603-413-4666
- Last updated
- November 11, 2025
Blue Heron Neurofeedback And Counseling is a healthcare organization based in Conway, NH. Blue Heron Neurofeedback And Counseling practices in Conway, NH. The NPI Number for Blue Heron Neurofeedback And Counseling is 1669039178. The current practice location address for Blue Heron Neurofeedback And Counseling is 379 White Mountain Hwy, Conway, NH 03818-4206 and can be reached out via phone at 603-356-6400 and via fax at 603-413-4666.
Provider Profile Details
- NPI Number
- 1669039178
- Provider Name
- Blue Heron Neurofeedback And Counseling
- Provider Entity Type
- Organization
- Address
- 379 White Mountain Hwy, Conway, NH 03818-4206
- Phone Number
- 603-356-6400
- Fax Number
- 603-413-4666
- Primary Taxonomy
- Clinic/Center, Multi-Specialty · 261QM1300X
- Organization Subpart
- No
- Authorized Official
- Stacie L Leclerc, LCMHC, MLADC · Owner · 603-356-6400
- Provider Enumeration Date
- May 21, 2019
- Last Update Date
- November 11, 2025
- Certification Date
- November 11, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 379 White Mountain Hwy
Conway, NH 03818-4206 - City
- Conway
- State
- New Hampshire
- Zip
- 03818-4206
- Phone Number
- 603-356-6400
- Fax Number
- 603-413-4666
Provider Business Mailing Address Details
- Address
- 111 Saranac St Ste 140
Littleton, NH 03561-4089 - City
- Littleton
- State
- NH
- Zip
- 03561-4089
- Phone Number
- 603-356-6400
- Fax Number
- 603-413-4666
License Information
- Taxonomy (1)
- Psychologist, Addiction (Substance Use Disorder) · 103TA0400X
- Taxonomy (2)
- Psychologist · 103T00000X
- Taxonomy (3)
- Clinic/Center, Rehabilitation, Substance Use Disorder · 261QR0405X
- Taxonomy (4)
- Marriage & Family Therapist · 106H00000X
- Taxonomy (5)
- Counselor, Addiction (Substance Use Disorder) · 101YA0400X
- Taxonomy (6)
- Clinic/Center, Multi-Specialty · 261QM1300X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Blue Heron Neurofeedback And Counseling?
The NPI number of Blue Heron Neurofeedback And Counseling is 1669039178. It was assigned on May 21, 2019 and is currently active in the NPPES registry.
What is the specialty of Blue Heron Neurofeedback And Counseling?
Blue Heron Neurofeedback And Counseling is registered under the primary taxonomy Clinic/Center, Multi-Specialty (code 261QM1300X).
Where does Blue Heron Neurofeedback And Counseling practice?
The practice location is 379 White Mountain Hwy, Conway, NH 03818-4206. The office can be reached at 603-356-6400 (phone) or 603-413-4666 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1669039178 directly on the NPPES registry website.