Hidden Wounds Family Therapy PLLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

HIDDEN WOUNDS FAMILY THERAPY PLLC

Practice address

201 E Academy St Ste 110
Fuquay Varina, NC 27526-2248

Phone

(919) 762-6558

NPI assigned

Oct 4, 2020

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Steven Ellsworth Cline, MA

Title

Owner/Licensed Marriage and Family

Phone

(919) 762-6558

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1601769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601769600000",
    "number": "1144827064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 E ACADEMY ST STE 110",
            "city": "FUQUAY VARINA",
            "state": "NC",
            "postal_code": "275262248",
            "telephone_number": "919-762-6558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 E ACADEMY ST STE 110",
            "city": "FUQUAY VARINA",
            "state": "NC",
            "postal_code": "275262248",
            "telephone_number": "919-762-6558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIDDEN WOUNDS FAMILY THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-04",
        "last_updated": "2020-10-04",
        "certification_date": "2020-10-04",
        "status": "A",
        "authorized_official_last_name": "CLINE",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "ELLSWORTH",
        "authorized_official_title_or_position": "OWNER/LICENSED MARRIAGE AND FAMILY",
        "authorized_official_telephone_number": "919-762-6558",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Monica Henao, D.M.D.
• Stacey Stowers Heppert, PA
• Kaylie Hernandez
• Camille Herring, MS, CCC-SLP
• Meashia Hicklen
• Highly Favored Family LLC
• Michelle K Hinds, DMD
• Lindsi Hines, LCAS-A
• Edith Hinton, BCBA
• Kelly L Hobbs, DPT

• All providers in Fuquay Varina, NC
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.