Wiles, Anita M

Wiles, Anita M is an individual health care provider with primary practice located at 2103 E Parham Rd Suite 100, Richmond VA 23228-2235. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Wiles, Anita M can be contacted via phone (804) 261-2090.

Contact Information

Primary practice address
2103 E Parham Rd Suite 100 Richmond VA 23228-2235
Phone: (804) 261-2090
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X 0812000510 Virginia
Behavioral Health & Social Service Providers / Clinical 1041C0700X 0904003558 Virginia

Profile Details

NPI number 1417008764
LBN Legal business name Wiles, Anita M
Credentials LCSW, COTP
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 15th, 2007
Last updated Aug 29th, 2018 - about 6 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 1417008764 NPPES
Virginia MEDICAID 010063752
Virginia MEDICAID 004942418
Virginia MEDICAID 010050499

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