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SHELLY JOHNSON HETHCOAT
NPI 1629348388
Counselor in Yadkinville, NC

Active since January 11, 2012
320 E LEE AVE, YADKINVILLE, NC 27055(704) 939-1100 Get Directions Write a Review

NPPES record last updated: January 11, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Shelly Johnson Hethcoat NPPES

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

SHELLY JOHNSON HETHCOAT (NPI 1629348388) is an individual counselor in Yadkinville, North Carolina and active in the NPI registry since January 2012.

NPPES Registry Identity

NPI1629348388
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameSHELLY JOHNSON HETHCOAT
Location Address320 E LEE AVEYadkinville, NC 27055-8132
Mailing Address284 Executive Park Drive, Suite 100Concord, NC 28025-1894 · (704) 939-1100 · Fax (704) 939-1173
Phone(704) 939-1100
Sole ProprietorNo
Enumeration DateJanuary 11, 2012
✔ NPI 1629348388 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
320 E LEE AVE, Yadkinville, NC 27055
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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.

DAYMARK RECOVERY SERVICES INC
Social Worker (Clinical)
320 E LEE AVE
YADKINVILLE, NC 27055
Yadkin County (336) 679-8805
CHARLES B GROSS
Counselor (Professional)
320 E LEE AVE
YADKINVILLE, NC 27055
Yadkin County (336) 679-8805
DAYMARK RECOVERY SERVICE INC
Psychiatry & Neurology (Psychiatry)
320 E LEE AVE
YADKINVILLE, NC 27055
Yadkin County (336) 679-8805
CYNTHIA BROWN STILTNER NCC, LCAS-A, LCMHCA
Counselor (Mental Health)
320 E LEE AVE
YADKINVILLE, NC 27055
Yadkin County (336) 679-8805
JERROLD MAX EVINGTON
Counselor
320 E LEE AVE
YADKINVILLE, NC 27055
Yadkin County (336) 679-8805
CLEVELAND NATHANIEL COCKERHAM JR.
Counselor
320 E LEE AVE
YADKINVILLE, NC 27055
Yadkin County (704) 939-1100
NEW RIVER SERVICE AUTHORITY
Community/Behavioral Health
320 E LEE AVE
YADKINVILLE, NC 27055
Yadkin County (336) 679-8805
CHRISTOPHER STEWART SAPP LCMHCA, LCAS, CSI
Counselor (Professional)
320 E LEE AVE
YADKINVILLE, NC 27055
Yadkin County (336) 679-8805

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 Shelly Hethcoat's NPI number?

The NPI number for Shelly Hethcoat is 1629348388. It was assigned to this individual provider in the NPPES registry on January 11, 2012.

Where is Shelly Hethcoat located?

Shelly Hethcoat practices at 320 E Lee Ave, Yadkinville, NC 27055. The listed phone number is (704) 939-1100.

What is Shelly Hethcoat's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Shelly Hethcoat was last updated on January 11, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.