Provider Demographics
NPI:1225177199
Name:HERRING, HEIDI YVETTE (LPC, NCC, LCAS)
Entity Type:Individual
Prefix:MS
First Name:HEIDI
Middle Name:YVETTE
Last Name:HERRING
Suffix:
Gender:F
Credentials:LPC, NCC, LCAS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:174 BITMORE RD
Mailing Address - Street 2:
Mailing Address - City:WHITEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28472-4940
Mailing Address - Country:US
Mailing Address - Phone:910-640-1830
Mailing Address - Fax:910-640-1854
Practice Address - Street 1:174 BITMORE RD
Practice Address - Street 2:
Practice Address - City:WHITEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28472-4940
Practice Address - Country:US
Practice Address - Phone:910-640-1830
Practice Address - Fax:910-640-1854
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-06
Last Update Date:2020-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2081101YA0400X
NC7579101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8300017KMedicaid