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NPI Code Detail

MEDICARE: HEATHER COLENDA

MEDICARE: HEATHER COLENDA
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
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1528985736
Entity Type Code : Individual
Provider Name (Legal Business Name) : HEATHER COLENDA
Provider Business Mailing Address
First Line : 813 PORTERS NECK RD
Second Line :
City : WILMINGTON
State : NC
Zip : 28411-7615
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3804 PARK AVE STE C
Second Line :
City : WILMINGTON
State : NC
Zip : 28403-6737
Country : US
Telephone Number : 910-240-4473
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/30/2026
Last Update Date : 06/30/2026

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Directions to “ HEATHER COLENDA ” Practice Location

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