Provider Demographics
NPI:1154124568
Name:COOPER, HEATHER (CADC)
Entity type:Individual
Prefix:
First Name:HEATHER
Middle Name:
Last Name:COOPER
Suffix:
Gender:
Credentials:CADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2726 AMBER POND CT
Mailing Address - Street 2:
Mailing Address - City:GRANITE FALLS
Mailing Address - State:NC
Mailing Address - Zip Code:28630-8223
Mailing Address - Country:US
Mailing Address - Phone:828-285-6823
Mailing Address - Fax:
Practice Address - Street 1:2726 AMBER POND CT
Practice Address - Street 2:
Practice Address - City:GRANITE FALLS
Practice Address - State:NC
Practice Address - Zip Code:28630-8223
Practice Address - Country:US
Practice Address - Phone:828-285-6823
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-31
Last Update Date:2025-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor