Healthcare Provider Details

I. General information

NPI: 1003402660
Provider Name (Legal Business Name): LINDY W. KITCHIN COUNSELING PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/17/2020
Last Update Date: 12/17/2020
Certification Date: 12/17/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

138 ROUNDABOUT CT
ROCKY MOUNT NC
27804-3573
US

IV. Provider business mailing address

138 ROUNDABOUT CT
ROCKY MOUNT NC
27804-3573
US

V. Phone/Fax

Practice location:
  • Phone: 252-578-4344
  • Fax:
Mailing address:
  • Phone: 252-578-4344
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: LINDY KITCHIN
Title or Position: OWNER
Credential: LCSW
Phone: 252-578-4344