Provider Demographics
NPI:1710686829
Name:RITCHIE, KAITLIN KIRKLAND (LCMHCA)
Entity Type:Individual
Prefix:
First Name:KAITLIN
Middle Name:KIRKLAND
Last Name:RITCHIE
Suffix:
Gender:F
Credentials:LCMHCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:103 SYLVAN HEIGHTS DR
Mailing Address - Street 2:
Mailing Address - City:SYLVA
Mailing Address - State:NC
Mailing Address - Zip Code:28779-2543
Mailing Address - Country:US
Mailing Address - Phone:828-506-2465
Mailing Address - Fax:
Practice Address - Street 1:11 SCHULMAN ST
Practice Address - Street 2:
Practice Address - City:SYLVA
Practice Address - State:NC
Practice Address - Zip Code:28779-8204
Practice Address - Country:US
Practice Address - Phone:828-506-2465
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-02-27
Last Update Date:2023-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCA18270101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health