Provider Demographics
NPI:1336271188
Name:HEATH, ANNE M (MSW, LC,SW)
Entity Type:Individual
Prefix:MS
First Name:ANNE
Middle Name:M
Last Name:HEATH
Suffix:
Gender:F
Credentials:MSW, LC,SW
Other - Prefix:MS
Other - First Name:MARY ANNE
Other - Middle Name:M
Other - Last Name:HEATH
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MSW, LCSW
Mailing Address - Street 1:450 PEBBLE CREEK DR
Mailing Address - Street 2:
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27511-5420
Mailing Address - Country:US
Mailing Address - Phone:919-757-2577
Mailing Address - Fax:919-790-8836
Practice Address - Street 1:875 WALNUT ST
Practice Address - Street 2:SUITE 275
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27511-4215
Practice Address - Country:US
Practice Address - Phone:919-388-3065
Practice Address - Fax:919-790-8836
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0048401041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical