Whitehead, Evelyn V.
Whitehead, Evelyn V. is an sole proprietor health care provider with primary practice located at 115 E Wythe St , Petersburg VA 23803. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Whitehead, Evelyn V. can be contacted via phone (804) 733-5383.Contact Information
Primary practice address
115 E Wythe St
Petersburg VA 23803
Phone: (804) 733-5383
Fax: (804) 733-5384
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 0701003609 | Virginia |
Profile Details
| NPI number | 1861556615 |
|---|---|
| LBN Legal business name | Whitehead, Evelyn V. |
| Credentials | Licensed Professional Counselor (LPC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 19th, 2006 |
| Last updated | Jul 9th, 2007 - about 17 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 | 1861556615 | NPPES |
| Virginia | Other | 326766 | MHN |
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