Provider Demographics
NPI:1053550491
Name:HESTER, BEVERLY RANEY (LCSW)
Entity type:Individual
Prefix:MS
First Name:BEVERLY
Middle Name:RANEY
Last Name:HESTER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3801 LAKE BOONE TRL STE 300
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27607-2969
Mailing Address - Country:US
Mailing Address - Phone:919-865-8706
Mailing Address - Fax:919-784-9184
Practice Address - Street 1:3801 LAKE BOONE TRL STE 300
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27607-2969
Practice Address - Country:US
Practice Address - Phone:919-865-8706
Practice Address - Fax:919-784-9184
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-09
Last Update Date:2009-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0023071041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical