# LOG CABIN COUNSELING

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093609109
- **Authorized official:** ROGER DAVID HEEREN LMFT (OWNER/THERAPIST)
- **Authorized official phone:** (512) 635-3544

## Contact information

- **Practice address:** 12255 LODGE RD, MIDDLESEX, NC 27557-7452
- **Practice address phone:** (512) 635-3544
- **Mailing address:** 12255 LODGE RD, MIDDLESEX, NC 27557-7452
- **Mailing address phone:** (512) 635-3544

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | — | NULL | Yes |
| 106H00000X | Marriage & Family Therapist | — | — | Yes |

## Other

- **Enumeration date:** 06/04/2025
- **Last updated:** 06/04/2025
