Organization
THE HEALING PLACE OF NC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CONNIE KERN LCMHC, NCRED, NBCR (CEO)
(646) 588-8176
Entity
Organization
Contact information
Practice address
823 ELM ST STE 200, FAYETTEVILLE, NC 28303-4164
(646) 588-8176
Mailing address
823 ELM ST STE 200, FAYETTEVILLE, NC 28303-4164
(646) 588-8176
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261Q00000X
Clinic/Center
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
—
—
Other
Enumeration date
09/18/2023
Last updated
09/18/2023
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