Provider Demographics
NPI:1588676159
Name:SALAY, MILOTA RUTH (LPC, NCC)
Entity Type:Individual
Prefix:
First Name:MILOTA
Middle Name:RUTH
Last Name:SALAY
Suffix:
Gender:F
Credentials:LPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:28 CREEKSTONE DR
Mailing Address - Street 2:
Mailing Address - City:PITTSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27312-6798
Mailing Address - Country:US
Mailing Address - Phone:919-906-3823
Mailing Address - Fax:
Practice Address - Street 1:1205 N FAYETTEVILLE ST
Practice Address - Street 2:SUITE 102
Practice Address - City:ASHEBORO
Practice Address - State:NC
Practice Address - Zip Code:27203-4537
Practice Address - Country:US
Practice Address - Phone:336-629-4471
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC4150101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC4150OtherLPC
FL6768OtherLMHC
NC142A6OtherBLUE CROSS/ BLUE SHIELD
NC66157OtherNCC
NC6102930Medicaid