Provider Demographics
NPI:1194525311
Name:PAXTON, HEATHER (LCMHCA)
Entity type:Individual
Prefix:
First Name:HEATHER
Middle Name:
Last Name:PAXTON
Suffix:
Gender:
Credentials:LCMHCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1014 HENDRICKS AVE
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28540-6816
Mailing Address - Country:US
Mailing Address - Phone:910-388-8737
Mailing Address - Fax:
Practice Address - Street 1:123 HENDERSON DR
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:NC
Practice Address - Zip Code:28540-5601
Practice Address - Country:US
Practice Address - Phone:910-939-4663
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-17
Last Update Date:2025-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health