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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1770963639 NPPES
North Carolina MEDICAID 1770963639

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