Provider Demographics
NPI:1225656622
Name:CONNER, HEATHER NICOLE (LCMHC-A, LCAS)
Entity type:Individual
Prefix:
First Name:HEATHER
Middle Name:NICOLE
Last Name:CONNER
Suffix:
Gender:F
Credentials:LCMHC-A, LCAS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24 TRINITY PL
Mailing Address - Street 2:
Mailing Address - City:WAYNESVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28786-6196
Mailing Address - Country:US
Mailing Address - Phone:828-269-4657
Mailing Address - Fax:
Practice Address - Street 1:24 TRINITY PL
Practice Address - Street 2:
Practice Address - City:WAYNESVILLE
Practice Address - State:NC
Practice Address - Zip Code:28786-6196
Practice Address - Country:US
Practice Address - Phone:828-269-4657
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-07-12
Last Update Date:2020-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCA10818101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health