MEDICARE: MRS. SABRINA L WINSTEAD LPC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	6991	NC

General Provider Information

NPI Number	:	1417183401
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. SABRINA L WINSTEAD LPC

Provider Business Mailing Address
First Line	:	3509 HAWORTH DR
Second Line	:	SUITE 105
City	:	RALEIGH
State	:	NC
Zip	:	27609-7238
Country	:	US
Telephone Number	:	919-896-7536
Fax Number	:	919-896-7537

Provider Business Practice Location Address
First Line	:	3509 HAWORTH DR
Second Line	:	SUITE 105
City	:	RALEIGH
State	:	NC
Zip	:	27609-7238
Country	:	US
Telephone Number	:	919-896-7536
Fax Number	:	919-896-7537

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/03/2009
Last Update Date	:	04/04/2011

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