Provider Demographics
NPI:1437941259
Name:DUMAS, HEIAT (LMBT)
Entity type:Individual
Prefix:MS
First Name:HEIAT
Middle Name:
Last Name:DUMAS
Suffix:
Gender:F
Credentials:LMBT
Other - Prefix:
Other - First Name:HAYAT
Other - Middle Name:
Other - Last Name:HAKIM
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:133 RUTH ST
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28305-4937
Mailing Address - Country:US
Mailing Address - Phone:443-243-7340
Mailing Address - Fax:
Practice Address - Street 1:235 WESTLAKE RD STE 3
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28314-4863
Practice Address - Country:US
Practice Address - Phone:443-243-7340
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-19
Last Update Date:2025-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC20904225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist