Doctor Name: | MS. HEIDI YVETTE HERRING |
NPI Number: | 1225177199 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC, NCC, LCAS |
License Number: | 2081 |
Business Practice Address: | 103 Forest Ave Tabor City, NC - 284632709 |
Business Phone Number: | 9198895118 |
Business Fax Number: | 9103773009 |
Mailing Address: | 103 Forest Ave, TABOR CITY |
State: | NC |
Postal Code: | 284632709 |
Phone Number: | 9198895118 |
Fax Number: | 9103773009 |
NPI Enumeration Date: | 02/06/2007 |
NPI Last Update Date: | 08/24/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | 2081 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NC |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |