Healthcare Provider Details

I. General information

NPI: 1003108200
Provider Name (Legal Business Name): CARING HEARTS PROFESSIONAL COUNSELING SERVICES, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/05/2011
Last Update Date: 01/15/2026
Certification Date: 01/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

312 COLLEGE ST SUITE C
CLINTON NC
28328-4181
US

IV. Provider business mailing address

P. O. BOX 1734
CLINTON NC
28329
US

V. Phone/Fax

Practice location:
  • Phone: 910-299-0848
  • Fax: 910-299-0850
Mailing address:
  • Phone: 910-299-0848
  • Fax: 910-299-0850

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number2064
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: VANDE WILSON
Title or Position: DIRECTOR
Credential: LPC
Phone: 910-299-0848