Provider Demographics
NPI:1639348329
Name:RIGGINS, WENDY KIMBALL (LCMHC)
Entity Type:Individual
Prefix:MS
First Name:WENDY
Middle Name:KIMBALL
Last Name:RIGGINS
Suffix:
Gender:F
Credentials:LCMHC
Other - Prefix:MS
Other - First Name:WENDY
Other - Middle Name:NICHOLS
Other - Last Name:KIMBALL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPC
Mailing Address - Street 1:3010 GAIT WAY
Mailing Address - Street 2:
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27516-7602
Mailing Address - Country:US
Mailing Address - Phone:919-667-5980
Mailing Address - Fax:
Practice Address - Street 1:9303 BRIDLE SPUR
Practice Address - Street 2:
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27516-8837
Practice Address - Country:US
Practice Address - Phone:919-667-5980
Practice Address - Fax:919-667-5980
Is Sole Proprietor?:No
Enumeration Date:2008-02-27
Last Update Date:2022-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YA0400X
NC4867101YM0800X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health