Organization
HERITAGE COUNSELING SERVICES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KIMBERLY ANTOINE SCOTT LCSW (CLINICAL DIRECTOR)
(919) 449-0532
Entity
Organization
Contact information
Practice address
2012 S MAIN ST STE 500D, WAKE FOREST, NC 27587-5008
(919) 449-0532
(919) 792-9551
Mailing address
10835 BEDFORDTOWN DR, RALEIGH, NC 27614-8060
(919) 449-0532
(919) 792-9551
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
C004666
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6002801
—
NC
05
—
6005326
—
NC
Enumeration date
07/09/2006
Last updated
04/29/2013
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