Provider Demographics
NPI:1659752905
Name:HEURING, JANET (LCAS, LPA, HSP-PA)
Entity Type:Individual
Prefix:
First Name:JANET
Middle Name:
Last Name:HEURING
Suffix:
Gender:F
Credentials:LCAS, LPA, HSP-PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4501 NEW BERN AVE
Mailing Address - Street 2:SUITE 130-183
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27610-1549
Mailing Address - Country:US
Mailing Address - Phone:919-819-5736
Mailing Address - Fax:919-882-1426
Practice Address - Street 1:133 KEYBRIDGE DR
Practice Address - Street 2:SUITE A
Practice Address - City:MORRISVILLE
Practice Address - State:NC
Practice Address - Zip Code:27560-5915
Practice Address - Country:US
Practice Address - Phone:919-749-5724
Practice Address - Fax:919-882-1426
Is Sole Proprietor?:No
Enumeration Date:2015-06-12
Last Update Date:2016-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCLCAS-21893101YA0400X
NC4887103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)