Organization
WHITLEY TRAUMA RECOVERY & COUNSELING PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICKIE PEARMAN WHITLEY LCSW (OWNER/MENTAL HEALTH THERAPIST)
(336) 310-4763
Entity
Organization
Contact information
Practice address
116 HENDRIX DR, KERNERSVILLE, NC 27284-3016
(336) 310-4763
(336) 310-4308
Mailing address
116 HENDRIX DR, KERNERSVILLE, NC 27284-3016
(336) 972-2156
(336) 310-4308
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Enumeration date
10/16/2023
Last updated
10/16/2023
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