# HERITAGE COUNSELING AND CONSULTATION CENTER, LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1518369040
- **Authorized official:** MS. GERALDINE HICKERSON LCSW (CLINICAL DIRECTOR)
- **Authorized official phone:** (270) 996-5877

## Contact information

- **Practice address:** 611 PEACEFUL DR, ELIZABETHTOWN, KY 42701-6465
- **Practice address phone:** (270) 996-5877
- **Mailing address:** 611 PEACEFUL DR, ELIZABETHTOWN, KY 42701-6465
- **Mailing address phone:** (270) 996-5877

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | 3394 | KY | Yes |

## Other

- **Enumeration date:** 09/16/2014
- **Last updated:** 09/16/2014