Russell, Lita Wilson
Russell, Lita Wilson is an sole proprietor health care provider with primary practice located at 141 Providence Rd Ste 100, Chapel Hill NC 27514-6219. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Russell, Lita Wilson can be contacted via phone (919) 601-7985.Contact Information
Primary practice address
141 Providence Rd Ste 100
Chapel Hill NC 27514-6219
Phone: (919) 601-7985
Fax: (888) 208-9941
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 2532 | North Carolina |
Profile Details
| NPI number | 1235276072 |
|---|---|
| LBN Legal business name | Russell, Lita Wilson |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 31st, 2007 |
| Last updated | Apr 10th, 2020 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1235276072 | NPPES |
| North Carolina | Other | 0441W | BCBS |
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