Provider Demographics
NPI:1942274154
Name:WITTIG, VIRGINIA REED (PMHCNS-BC)
Entity Type:Individual
Prefix:
First Name:VIRGINIA
Middle Name:REED
Last Name:WITTIG
Suffix:
Gender:F
Credentials:PMHCNS-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:82108 EHRINGHAUS
Mailing Address - Street 2:
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27517-8588
Mailing Address - Country:US
Mailing Address - Phone:919-883-9031
Mailing Address - Fax:919-883-9031
Practice Address - Street 1:82108 EHRINGHAUS
Practice Address - Street 2:
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27517-8588
Practice Address - Country:US
Practice Address - Phone:919-883-9031
Practice Address - Fax:919-883-9031
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-14
Last Update Date:2008-12-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC44946101YM0800X, 163WP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health