Provider Demographics
NPI:1982850426
Name:HEINEY & ASSOCIATES
Entity Type:Organization
Organization Name:HEINEY & ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARY
Authorized Official - Middle Name:LOUISA
Authorized Official - Last Name:HEINEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:336-275-9889
Mailing Address - Street 1:403 PARKWAY STE E
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27401-1653
Mailing Address - Country:US
Mailing Address - Phone:336-275-9889
Mailing Address - Fax:336-275-9880
Practice Address - Street 1:403 PARKWAY STE E
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27401-1653
Practice Address - Country:US
Practice Address - Phone:336-275-9889
Practice Address - Fax:336-275-9880
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-15
Last Update Date:2008-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC518103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC6107159Medicaid