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

Waliyyah Hicks, LCASA

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1295412781

Waliyyah Hicks, LCASA is a Mental Health Counselor in Burgaw, North Carolina. Qualified in 2023, 3 years ago. Practices with Coastal Horizons Center, Inc, a 50-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
3
Licensed in
NC
In the registry since
2023
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Practice location Address checks out

309 Progress Dr
Burgaw, NC 28425-3280
Phone: (910) 259-0668
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 615 Shipyard Blvd, Wilmington, NC 28412-6431 — (910) 343-0145

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 28963 (NC)

Record details

NPI number1295412781
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCASA
Sole proprietorNo
NPI enumeratedJune 28, 2023
Last updated in NPPESJune 28, 2023
Certification dateJune 28, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Coastal Horizons Center, Inc. — 50 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Burgaw