National Provider Identifier

Charly Hearon

Charly Hearon is listed in the NPPES registry with a primary specialty of Counselor in Buffalo, NY and a listed phone number of (716) 856-2587.

NPI 1316785611Buffalo, NYCounselor

Profile Overview

NPI
1316785611
Provider Type
Individual
Primary Specialty
Counselor
Enumeration Date
July 19, 2024
Last Updated
December 22, 2025

Practice Location

  • 1050 Niagara St
  • Buffalo, NY 14213-2001

Phone: (716) 856-2587

Specialties

  • Counselor (101Y00000X)
Full Record
NPI
1316785611
Entity Type
Individual
Last Name
Hearon
First Name
Charly
Mailing Street Address
1050 Niagara St
Mailing City
Buffalo
Mailing State
NY
Mailing ZIP Code
14213-2001
Mailing Country
US
Practice Street Address
1050 Niagara St
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14213-2001
Practice Country
US
Practice Phone
(716) 856-2587
Enumeration Date
July 19, 2024
Last Updated
December 22, 2025
Sex
Female
Sole Proprietor
No
Certification Date
December 22, 2025
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Counselor (101Y00000X)