Provider Demographics
NPI:1528388808
Name:COOGAN HICKEY SERVICES, INC.
Entity Type:Organization
Organization Name:COOGAN HICKEY SERVICES, INC.
Other - Org Name:ASPIRING HEARTS COUNSELING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ABE
Authorized Official - Middle Name:EDWARD
Authorized Official - Last Name:HICKEY
Authorized Official - Suffix:
Authorized Official - Credentials:NCC, LCMHCS
Authorized Official - Phone:919-538-3458
Mailing Address - Street 1:4212 CLAYBOURNE DR
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27616-6599
Mailing Address - Country:US
Mailing Address - Phone:919-538-3458
Mailing Address - Fax:
Practice Address - Street 1:5858 FARINGDON PL STE 100
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27609-3931
Practice Address - Country:US
Practice Address - Phone:919-538-3458
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-09
Last Update Date:2024-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251S00000XAgenciesCommunity/Behavioral HealthGroup - Single Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty