Provider Demographics
NPI:1275627739
Name:THARRINGTON, PAIGE CORINNE (LPC)
Entity Type:Individual
Prefix:
First Name:PAIGE
Middle Name:CORINNE
Last Name:THARRINGTON
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:800 ST. MARY'S STREET
Mailing Address - Street 2:SUITE 401
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27605
Mailing Address - Country:US
Mailing Address - Phone:919-832-6147
Mailing Address - Fax:919-832-6147
Practice Address - Street 1:800 ST. MARY'S STREET
Practice Address - Street 2:SUITE 401
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27605
Practice Address - Country:US
Practice Address - Phone:919-832-6147
Practice Address - Fax:919-832-6147
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC4282101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC6102311Medicaid