Provider Demographics
NPI:1780739268
Name:HEULE, ANNA E (LCSW)
Entity type:Individual
Prefix:MRS
First Name:ANNA
Middle Name:E
Last Name:HEULE
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4100 CARY OAKS DR
Mailing Address - Street 2:
Mailing Address - City:APEX
Mailing Address - State:NC
Mailing Address - Zip Code:27539-7602
Mailing Address - Country:US
Mailing Address - Phone:919-802-1023
Mailing Address - Fax:919-542-2624
Practice Address - Street 1:387 EAST STREET
Practice Address - Street 2:SUITE 421
Practice Address - City:PITTSBORO
Practice Address - State:NC
Practice Address - Zip Code:27312
Practice Address - Country:US
Practice Address - Phone:919-802-1023
Practice Address - Fax:919-542-2624
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-24
Last Update Date:2008-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0058271041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC6106890Medicaid