Provider Demographics
NPI:1669525846
Name:CAIN, HEATHER (MA LMFT)
Entity type:Individual
Prefix:
First Name:HEATHER
Middle Name:
Last Name:CAIN
Suffix:
Gender:F
Credentials:MA LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1776 ARBOR GROVE CHURCH RD
Mailing Address - Street 2:
Mailing Address - City:PURLEAR
Mailing Address - State:NC
Mailing Address - Zip Code:28665-9273
Mailing Address - Country:US
Mailing Address - Phone:336-927-4436
Mailing Address - Fax:336-667-8634
Practice Address - Street 1:1006 BYRD RIDGE RD
Practice Address - Street 2:
Practice Address - City:N WILKESBORO
Practice Address - State:NC
Practice Address - Zip Code:28659-8044
Practice Address - Country:US
Practice Address - Phone:336-927-4436
Practice Address - Fax:336-667-8634
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-19
Last Update Date:2012-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC981101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor