Basic Information
| Provider Information | |||||||||
| NPI: | 1275842395 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | HEDING | ||||||||
| FirstName: | CHARITY | ||||||||
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| Mailing Information | |||||||||
| Address1: | 26 N KANAWHA ST STE 201 | ||||||||
| Address2: | |||||||||
| City: | BUCKHANNON | ||||||||
| State: | WV | ||||||||
| PostalCode: | 262012714 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3044730020 | ||||||||
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| Practice Location | |||||||||
| Address1: | 29 S KANAWHA ST | ||||||||
| Address2: | |||||||||
| City: | BUCKHANNON | ||||||||
| State: | WV | ||||||||
| PostalCode: | 262012625 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7014514900 | ||||||||
| FaxNumber: | 7014514893 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/07/2010 | ||||||||
| LastUpdateDate: | 07/21/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 1041C0700X | DP00945017 | WV | Y | Behavioral Health & Social Service Providers | Social Worker | Clinical | 1041C0700X | 4038 | ND | N | Behavioral Health & Social Service Providers | Social Worker | Clinical |
No ID Information.