Fitts, Bonnie

Fitts, Bonnie is an sole proprietor health care provider with primary practice located at 1008 Big Oak Ct , Knightdale NC 27545-8841. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Agencies / Community/Behavioral Health, Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center). Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Fitts, Bonnie can be contacted via phone (919) 723-8306.

Contact Information

Primary practice address
1008 Big Oak Ct Knightdale NC 27545-8841
Phone: (919) 723-8306
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 6803 North Carolina
Agencies / Community/Behavioral Health 251S00000X 6803 North Carolina
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X 6803 North Carolina

Profile Details

NPI number 1639352578
LBN Legal business name Fitts, Bonnie
Credentials M.A., LPC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 13th, 2007
Last updated Sep 3rd, 2008 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639352578 NPPES
North Carolina MEDICAID 6103813

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