LYNETTE HEACOCK LCMHC-A
NPI 1396417515
Counselor - Professional in Jacksonville, NC

Active since October 05, 2021
200 TARPON TRL, JACKSONVILLE, NC 28546(910) 938-1114(910) 938-1118 Get Directions Write a Review

NPPES record last updated: October 5, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lynette Heacock Lcmhc-a NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LYNETTE HEACOCK LCMHC-A (NPI 1396417515) is an individual professional provider in Jacksonville, North Carolina and active in the NPI registry since October 2021.

NPPES Registry Identity

NPI1396417515
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameLYNETTE HEACOCKCredential: LCMHC-A
Location Address200 TARPON TRLJacksonville, NC 28546-5287
Mailing Address200 Tarpon TrlJacksonville, NC 28546-5287 · (910) 938-1114 · Fax (910) 938-1118
Fax(910) 938-1118
Sole ProprietorNo
Enumeration DateOctober 5, 2021
NPPES CertifiedOctober 5, 2021
NPI 1396417515 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
200 TARPON TRL, Jacksonville, NC 28546

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker (Clinical)
200 TARPON TRL
JACKSONVILLE, NC 28546
Social Worker (Clinical)
200 TARPON TRL
JACKSONVILLE, NC 28546
Social Worker (Clinical)
200 TARPON TRL
JACKSONVILLE, NC 28546
Nurse Practitioner (Psychiatric/Mental Health)
200 TARPON TRL
JACKSONVILLE, NC 28546
Social Worker (Clinical)
200 TARPON TRL
JACKSONVILLE, NC 28546
Social Worker (Clinical)
200 TARPON TRL
JACKSONVILLE, NC 28546
Social Worker (Clinical)
200 TARPON TRL
JACKSONVILLE, NC 28546
Psychiatry & Neurology (Psychiatry)
200 TARPON TRL
JACKSONVILLE, NC 28546

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lynette Heacock's NPI number?

The NPI number for Lynette Heacock is 1396417515. It was assigned to this individual provider in the NPPES registry on October 5, 2021.

Where is Lynette Heacock located?

Lynette Heacock practices at 200 Tarpon Trl, Jacksonville, NC 28546. The listed phone number is (910) 938-1114.

What is Lynette Heacock's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Lynette Heacock was last updated on October 5, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.