Healthcare Provider Details

I. General information

NPI: 1346909215
Provider Name (Legal Business Name): HEALING WINGS COUNSELING PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/08/2021
Last Update Date: 06/15/2026
Certification Date: 06/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7906 BROAD ST
RURAL HALL NC
27045-9335
US

IV. Provider business mailing address

7906 BROAD ST
RURAL HALL NC
27045-9335
US

V. Phone/Fax

Practice location:
  • Phone: 336-594-0023
  • Fax: 855-941-0577
Mailing address:
  • Phone: 336-594-0023
  • Fax: 855-941-0577

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: MS. DENISE ELIZABETH FETTERS
Title or Position: CEO
Credential: LCMHC LPCC NCC
Phone: 336-594-0023