Hairston, Michele Robin

Hairston, Michele Robin is an individual health care provider with primary practice located at 2430 Reynolda Rd Ste 2B , Winston Salem NC 27106-4626. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Hairston, Michele Robin can be contacted via phone (336) 291-7477.

Contact Information

Primary practice address

2430 Reynolda Rd Ste 2B Winston Salem NC 27106-4626

Phone: (336) 291-7477

Fax: (336) 217-8044

Website:

Map and Directions

Health care specialties

Specialty	Code	License #	State
Behavioral Health & Social Service Providers / Professional	101YP2500X	A12063	North Carolina

Profile Details

NPI number	1043675671
LBN Legal business name	Hairston, Michele Robin
Credentials	LCPA
Entity	Individual
Sole proprietor ¹	No
Enumeration date	Dec 26th, 2015
Last updated	Mar 29th, 2017 - about 9 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

State	Type	Number	Issuer
All States	NPI	1043675671	NPPES
North Carolina	MEDICAID	1043675671

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