Little, Walter T
Little, Walter T is an individual health care provider with primary practice located at 804 Creek Haven Dr , Holly Springs NC 27540-8372. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. Little, Walter T can be contacted via phone (919) 362-0577.Contact Information
Primary practice address
804 Creek Haven Dr
Holly Springs NC 27540-8372
Phone: (919) 362-0577
Fax: (919) 680-4883
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 4713 | North Carolina |
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 4713 | North Carolina |
Profile Details
| NPI number | 1750388914 |
|---|---|
| LBN Legal business name | Little, Walter T |
| Credentials | M.ED LPC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 2nd, 2005 |
| Last updated | Dec 19th, 2013 - about 10 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1750388914 | NPPES |
| North Carolina | MEDICAID | 6102010 |
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