Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ellen Suzanne Hefner, LCMHCA

Individual provider Mental Health Counselor · NPI 1104293836

Ellen Suzanne Hefner, LCMHCA is a Mental Health Counselor in Charlotte, North Carolina. Practices as a sole proprietor. Licensed in North Carolina.

Licensed in
NC
In the registry since
2015

Practice location Address checks out

12830 Rusty Blackbird Way
Charlotte, NC 28278-6896
Phone: (336) 926-2143
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence A11644 (NC)

Record details

NPI number1104293836
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCMHCA
Sole proprietorYes
NPI enumeratedAugust 28, 2015
Last updated in NPPESFebruary 12, 2026
Certification dateFebruary 12, 2026

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