Provider Demographics
NPI:1750971081
Name:FRAZIER, HEATHER CASHION (LCMHC; LCASA)
Entity type:Individual
Prefix:
First Name:HEATHER
Middle Name:CASHION
Last Name:FRAZIER
Suffix:
Gender:F
Credentials:LCMHC; LCASA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:522 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:WALNUT COVE
Mailing Address - State:NC
Mailing Address - Zip Code:27052-9247
Mailing Address - Country:US
Mailing Address - Phone:336-753-2655
Mailing Address - Fax:
Practice Address - Street 1:522 N MAIN ST
Practice Address - Street 2:
Practice Address - City:WALNUT COVE
Practice Address - State:NC
Practice Address - Zip Code:27052-9247
Practice Address - Country:US
Practice Address - Phone:336-753-2655
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-20
Last Update Date:2023-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC23948101YA0400X
NC13810101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty