Provider Demographics
NPI:1033320585
Name:CRITE, ROBIN WHITSETT
Entity Type:Individual
Prefix:MRS
First Name:ROBIN
Middle Name:WHITSETT
Last Name:CRITE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 482
Mailing Address - Street 2:
Mailing Address - City:BROWNS SUMMIT
Mailing Address - State:NC
Mailing Address - Zip Code:27214-0482
Mailing Address - Country:US
Mailing Address - Phone:336-215-5900
Mailing Address - Fax:336-656-9203
Practice Address - Street 1:5306 YANCEYVILLE RD.
Practice Address - Street 2:
Practice Address - City:BROWNS SUMMIT
Practice Address - State:NC
Practice Address - Zip Code:27214
Practice Address - Country:US
Practice Address - Phone:336-656-5273
Practice Address - Fax:336-656-9903
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-25
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC3418000Medicaid