Healthcare Provider Details

I. General information

NPI: 1104465111
Provider Name (Legal Business Name): H & H MENTAL HEALTH ASSOCIATES, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/23/2019
Last Update Date: 12/23/2019
Certification Date: 12/23/2019
Deactivation Date:
Reactivation Date:

III. Provider practice location address

174 BITMORE RD
WHITEVILLE NC
28472-4940
US

IV. Provider business mailing address

174 BITMORE RD
WHITEVILLE NC
28472-4940
US

V. Phone/Fax

Practice location:
  • Phone: 910-640-1830
  • Fax: 910-640-1854
Mailing address:
  • Phone: 910-640-1830
  • Fax: 910-640-1854

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State

VIII. Authorized Official

Name: HEIDI Y HERRING
Title or Position: PRESIDENT
Credential: LPC, NCC, LCAS, CCS
Phone: 919-889-5118