Provider Demographics
NPI:1700500345
Name:TROUTMAN, HEIDI (LCMHC-A)
Entity Type:Individual
Prefix:
First Name:HEIDI
Middle Name:
Last Name:TROUTMAN
Suffix:
Gender:F
Credentials:LCMHC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1032 CANNONBALL RUN APT 202
Mailing Address - Street 2:
Mailing Address - City:KNIGHTDALE
Mailing Address - State:NC
Mailing Address - Zip Code:27545-7299
Mailing Address - Country:US
Mailing Address - Phone:717-462-5156
Mailing Address - Fax:
Practice Address - Street 1:3301 HAMMOND RD
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27603-3559
Practice Address - Country:US
Practice Address - Phone:919-773-7930
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-09-28
Last Update Date:2022-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health