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
—
—
101YP2500X
Professional Counselor
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6005845
—
NC
Enumeration date
11/01/2006
Last updated
07/20/2012
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