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General NPI Number Information
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NPI Number | 1578435871
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Entity Type | Individual
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Provider Name | KATIE HEATH LCMHA
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Gender | Female
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Dates
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Enumeration Date | 09/18/2025
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Last Update Date | 09/18/2025
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Provider Practice Location Address
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Address Line | 10224 HICKORYWOOD HILL AVE STE 204
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City | HUNTERSVILLE
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State | NC
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Zip | 28078-3474
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Country | US
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Telephone | 704-756-1615
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Fax |
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Provider Business Mailing Address
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Address Line | 6629 BELLS MILL DR
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City | CHARLOTTE
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State | NC
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Zip | 28269-9116
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Country | US
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Telephone | 704-421-8630
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | A22043
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License Number State | NC
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