Individual
ELLEN SUZANNE HEFNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCMHCA
Contact information
Practice address
12830 RUSTY BLACKBIRD WAY, CHARLOTTE, NC 28278-6896
(336) 926-2143
Mailing address
12830 RUSTY BLACKBIRD WAY, CHARLOTTE, NC 28278-6896
(336) 926-2143
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
A11644
NC
Other
Enumeration date
08/28/2015
Last updated
02/12/2026
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