Provider Demographics
NPI:1447876644
Name:TONI-ANN COUNSELING, PLLC
Entity type:Organization
Organization Name:TONI-ANN COUNSELING, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LCSW
Authorized Official - Prefix:
Authorized Official - First Name:STACY
Authorized Official - Middle Name:
Authorized Official - Last Name:HEPBURN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:704-897-6181
Mailing Address - Street 1:6509 HUDSPETH RD
Mailing Address - Street 2:
Mailing Address - City:HARRISBURG
Mailing Address - State:NC
Mailing Address - Zip Code:28075-5004
Mailing Address - Country:US
Mailing Address - Phone:704-897-6181
Mailing Address - Fax:704-302-1188
Practice Address - Street 1:6509 HUDSPETH RD
Practice Address - Street 2:
Practice Address - City:HARRISBURG
Practice Address - State:NC
Practice Address - Zip Code:28075-5004
Practice Address - Country:US
Practice Address - Phone:704-897-6181
Practice Address - Fax:704-302-1188
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-23
Last Update Date:2020-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty