Individual provider · Type 1 NPI
Ellen Suzanne Hefner, LCMHCA
Mental Health Counselor · Charlotte, NC
NPI number
1104293836
Active
Practice location
12830 Rusty Blackbird Way
Charlotte, NC 28278-6896
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | A11644 (NC) |
Mental Health Counselor: Definition to come...
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About NPI 1104293836
Ellen Suzanne Hefner, LCMHCA's National Provider Identifier is 1104293836, issued on Aug 28, 2015. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Charlotte, NC. The record was last updated on Feb 12, 2026.