Provider Demographics
NPI:1992982474
Name:NEW PERSPECTIVES COUNSELING AND CONSULTATION PLLC
Entity type:Organization
Organization Name:NEW PERSPECTIVES COUNSELING AND CONSULTATION PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:HEATHER
Authorized Official - Middle Name:LESLIE
Authorized Official - Last Name:FORTE
Authorized Official - Suffix:
Authorized Official - Credentials:MSW, LCSW, C-ACYFSW
Authorized Official - Phone:704-706-4528
Mailing Address - Street 1:PO BOX 4082
Mailing Address - Street 2:
Mailing Address - City:MOORESVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28117-4082
Mailing Address - Country:US
Mailing Address - Phone:704-706-4528
Mailing Address - Fax:704-749-8612
Practice Address - Street 1:903 NORTHEAST DR
Practice Address - Street 2:SUITE 102
Practice Address - City:DAVIDSON
Practice Address - State:NC
Practice Address - Zip Code:28036-7416
Practice Address - Country:US
Practice Address - Phone:704-704-4528
Practice Address - Fax:704-749-8612
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-27
Last Update Date:2014-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC005323251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC6006397Medicaid