Healthcare Provider Details

I. General information

NPI: 1780739268
Provider Name (Legal Business Name): ANNA E. HEULE LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/24/2007
Last Update Date: 04/08/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

387 EAST STREET SUITE 421
PITTSBORO NC
27312
US

IV. Provider business mailing address

4100 CARY OAKS DR
APEX NC
27539-7602
US

V. Phone/Fax

Practice location:
  • Phone: 919-802-1023
  • Fax: 919-542-2624
Mailing address:
  • Phone: 919-802-1023
  • Fax: 919-542-2624

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberC005827
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: