Individual
DR. HELOISA H PORTELA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC NCC
Contact information
Practice address
8400 SIX FORKS RD, SUITE 203, RALEIGH, NC 27615-3068
(919) 368-5207
(919) 882-9505
Mailing address
8416 PARKSTONE DR, RALEIGH, NC 27613-6888
(919) 368-5207
(919) 882-9505
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC 4935
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14176
BCBSNC PROVIDER NUMBER
NC
05
—
6102856
—
NC
Enumeration date
08/10/2006
Last updated
01/08/2009
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