Individual
AMY LEIGH O'HEARN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LCAS, LCSW
Contact information
Practice address
3225 BATTLEGROUND AVE STE 4, GREENSBORO, NC 27408-2636
(336) 987-4449
Mailing address
2710 CHADBURY DR, GREENSBORO, NC 27407-6697
(336) 265-2720
(336) 265-2721
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LCAS-27235
NC
1041C0700X
Clinical Social Worker
Primary
C016885
NC
Other
Enumeration date
10/10/2022
Last updated
05/15/2024
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