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NPI Code Detail

MEDICARE: HEART TO HEART COUNSELING AND WELLNESS CENTER, PLLC

MEDICARE: HEART TO HEART COUNSELING AND WELLNESS CENTER, PLLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101Y00000XCounselor
2103T00000XPsychologist
3251S00000XCommunity/Behavioral Health Agency8992NC
4101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1154797082
Entity Type Code : Organization
Provider Name (Legal Business Name) : HEART TO HEART COUNSELING AND WELLNESS CENTER, PLLC
Provider Business Mailing Address
First Line : 5845 YADKIN RD UNIT D
Second Line :
City : FAYETTEVILLE
State : NC
Zip : 28303-2656
Country : US
Telephone Number : 910-867-4417
Fax Number : 910-302-7479
Provider Business Practice Location Address
First Line : 5845 YADKIN RD UNIT D
Second Line :
City : FAYETTEVILLE
State : NC
Zip : 28303-2656
Country : US
Telephone Number : 910-867-4417
Fax Number : 910-302-7479
Authorized Official
Title or Position : OWNER
Name : DR. SHENAE LASANDRA WHITEHEAD
Credential : PHD, MA, LPA, LCMHCS
Telephone Number : 910-867-4417
Provider Enumeration Date : 08/14/2015
Last Update Date : 08/22/2023

Similar Medicare Providers

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Practice Location Address:
5845 YADKIN RD STE D
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1609146380 — DR. SHENAE LASANDRA WHITEHEAD PHD, MA, LPA, LCMHCS
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28303-2656
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FAYETTEVILLE, NC
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Directions to “HEART TO HEART COUNSELING AND WELLNESS CENTER, PLLC ” Practice Location

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