Whitley, Vickie
Whitley, Vickie is an sole proprietor health care provider with primary practice located at 116 Hendrix Dr , Kernersville NC 27284-3016. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Whitley, Vickie can be contacted via phone (336) 972-2156.Contact Information
Primary practice address
116 Hendrix Dr
Kernersville NC 27284-3016
Phone: (336) 972-2156
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | P009580 | North Carolina |
Profile Details
| NPI number | 1770963639 |
|---|---|
| LBN Legal business name | Whitley, Vickie |
| Credentials | LCSWA |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 5th, 2015 |
| Last updated | Feb 20th, 2021 - about 3 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 | 1770963639 | NPPES |
| North Carolina | MEDICAID | 1770963639 |
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