Healthcare Provider Details

I. General information

NPI: 1649257189
Provider Name (Legal Business Name): RITA WILKINSON LPC NCC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MISS RITA STROUPE

II. Dates (important events)

Enumeration Date: 12/27/2005
Last Update Date: 06/29/2026
Certification Date:
Deactivation Date: 08/01/2007
Reactivation Date: 06/29/2026

III. Provider practice location address

258 E GARRISON BLVD
GASTONIA NC
28054-0460
US

IV. Provider business mailing address

258 E GARRISON BLVD
GASTONIA NC
28054-0460
US

V. Phone/Fax

Practice location:
  • Phone: 704-861-8405
  • Fax: 704-865-0590
Mailing address:
  • Phone: 704-861-8405
  • Fax: 704-865-0590

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number4465
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: