| Organization Name: | CARING HEARTS PROFESSIONAL COUNSELING SERVICES, PLLC |
| NPI Number: | 1003108200 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | VANDE WILSON (DIRECTOR) |
| Mailing Address: | 312 College St Suite C Clinton |
| State: | NC US |
| Postal Code: | 283284181 |
| Phone Number: | 9102990848 |
| Fax Number: | 9102990850 |
| NPI Enumeration Date: | 05/05/2011 |
| NPI Last Update Date: | 07/21/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 7604 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NC |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |