Individual
MRS. HEATHER NICOLE LEWELLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCMHCA
Contact information
Practice address
617 N MAIN ST, TROY, NC 27371-2710
(910) 572-2225
(910) 571-0234
Mailing address
PO BOX 373, TROY, NC 27371-0373
(910) 572-2225
(910) 571-0234
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
A18136
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6104729
—
NC
Enumeration date
11/01/2022
Last updated
11/01/2022
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