Provider Demographics
NPI:1598546046
Name:HAIR, KRISTA LENTINI (MSW, LCSW-A)
Entity Type:Individual
Prefix:
First Name:KRISTA
Middle Name:LENTINI
Last Name:HAIR
Suffix:
Gender:F
Credentials:MSW, LCSW-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1825 W CITY DR
Mailing Address - Street 2:
Mailing Address - City:ELIZABETH CITY
Mailing Address - State:NC
Mailing Address - Zip Code:27909-9675
Mailing Address - Country:US
Mailing Address - Phone:252-339-8689
Mailing Address - Fax:252-338-0879
Practice Address - Street 1:1825 W CITY DR
Practice Address - Street 2:
Practice Address - City:ELIZABETH CITY
Practice Address - State:NC
Practice Address - Zip Code:27909-9675
Practice Address - Country:US
Practice Address - Phone:252-339-8689
Practice Address - Fax:252-338-0879
Is Sole Proprietor?:No
Enumeration Date:2023-10-11
Last Update Date:2023-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP0198811041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical