Provider Demographics
NPI:1043492168
Name:STARKE, BRITTA M (LCS, LCAS)
Entity Type:Individual
Prefix:
First Name:BRITTA
Middle Name:M
Last Name:STARKE
Suffix:
Gender:F
Credentials:LCS, LCAS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:211 FRIDAY CENTER DR
Mailing Address - Street 2:SUITE 2091, ROOM 2097
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27517-9499
Mailing Address - Country:US
Mailing Address - Phone:919-966-5804
Mailing Address - Fax:919-966-9983
Practice Address - Street 1:101 MANNING DR
Practice Address - Street 2:ALCOHOL AND SUBSTANCE ABUSE PROGRAM
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27514-4220
Practice Address - Country:US
Practice Address - Phone:919-966-6039
Practice Address - Fax:919-843-6341
Is Sole Proprietor?:No
Enumeration Date:2007-11-30
Last Update Date:2009-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0062091041C0700X
NC1331101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical