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Organization
HEALING HEARTS THERAPEUTIC SERVICES, INC
Active
Organization
HEALING HEARTS THERAPEUTIC SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DEMETRIOUS SHEPARD LPC (CEO CLINICAL DIRECTOR)
(910) 347-1694
Entity
Organization
Contact information
Practice address
824 GUM BRANCH RD STE E, JACKSONVILLE, NC 28540-6269
(910) 347-1694
(910) 347-3691
Mailing address
824 GUM BRANCH RD STE E, JACKSONVILLE, NC 28540-6269
(910) 347-1694
(910) 347-3691
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
NULL
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
101YP2500X
Professional Counselor
—
NULL
101YP2500X
Professional Counselor
—
—
Other
Enumeration date
11/01/2006
Last updated
07/20/2012
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