Healthcare Provider Details

I. General information

NPI: 1225177199
Provider Name (Legal Business Name): HEIDI YVETTE HERRING LPC, NCC, LCAS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/06/2007
Last Update Date: 06/03/2026
Certification Date: 06/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5509 CREEDMOOR RD
RALEIGH NC
27612-6312
US

IV. Provider business mailing address

5509 CREEDMOOR RD
RALEIGH NC
27612-6312
US

V. Phone/Fax

Practice location:
  • Phone: 919-605-3945
  • Fax: 919-573-6555
Mailing address:
  • Phone: 919-605-3945
  • Fax: 919-573-6555

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number7579
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number2081
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: