Heller, Brian
Heller, Brian is an sole proprietor health care provider with primary practice located at 425 Spring Garden St , Greensboro NC 27401-2733. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. Heller, Brian can be contacted via phone (336) 337-3109.Contact Information
Primary practice address
425 Spring Garden St
Greensboro NC 27401-2733
Phone: (336) 337-3109
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | ||
Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 6856 | North Carolina |
Profile Details
NPI number | 1841488442 |
---|---|
LBN Legal business name | Heller, Brian |
Credentials | M.S., LPC |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Oct 9th, 2007 |
Last updated | Jan 15th, 2015 - about 9 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1841488442 | NPPES |
North Carolina | MEDICAID | 6103807 |
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