Provider Demographics
NPI:1740509512
Name:SATTENFIELD, CHARLES LEWIS
Entity type:Individual
Prefix:
First Name:CHARLES
Middle Name:LEWIS
Last Name:SATTENFIELD
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:281 SALISBURY DR
Mailing Address - Street 2:
Mailing Address - City:TROY
Mailing Address - State:NC
Mailing Address - Zip Code:27371-9709
Mailing Address - Country:US
Mailing Address - Phone:910-572-3211
Mailing Address - Fax:
Practice Address - Street 1:665 TIMBER TRAIL
Practice Address - Street 2:
Practice Address - City:GOLD HILL
Practice Address - State:NC
Practice Address - Zip Code:27502-7661
Practice Address - Country:US
Practice Address - Phone:704-279-1199
Practice Address - Fax:704-279-7668
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-19
Last Update Date:2010-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health