Provider Demographics
NPI:1780997957
Name:SALTERS, LENNIAH VINYKE (MSW, PLCSW)
Entity type:Individual
Prefix:MS
First Name:LENNIAH
Middle Name:VINYKE
Last Name:SALTERS
Suffix:
Gender:F
Credentials:MSW, PLCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2504 CASTLE BAR DR APT 304
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28311-1637
Mailing Address - Country:US
Mailing Address - Phone:910-977-3840
Mailing Address - Fax:
Practice Address - Street 1:2944 BREEZEWOOD AVE STE 203
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28303-5415
Practice Address - Country:US
Practice Address - Phone:910-486-2221
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-07-16
Last Update Date:2010-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health