| Heritage Counseling Services Inc. | |
|
2012 S Main St Ste 500d Wake Forest NC 27587-5008 | |
| (919) 449-0532 | |
| (919) 792-9551 |
| Full Name | Heritage Counseling Services Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2012 S Main St Ste 500d, Wake Forest, North Carolina |
| Authorized Official Name and Position | Kimberly Antoine Scott (CLINICAL DIRECTOR) |
| Authorized Official Contact | 9194490532 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Heritage Counseling Services Inc. 10835 Bedfordtown Dr Raleigh NC 27614-8060 Ph: (919) 449-0532 | Heritage Counseling Services Inc. 2012 S Main St Ste 500d Wake Forest NC 27587-5008 Ph: (919) 449-0532 |
| NPI Number | 1386677482 |
|---|---|
| Provider Enumeration Date | 07/09/2006 |
| Last Update Date | 04/29/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386677482 | NPI | - | NPPES |
| 6002801 | Medicaid | NC | |
| 6005326 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | C004666 (North Carolina) | Primary |
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