Love, Virginia Leigh
Love, Virginia Leigh is an individual health care provider with primary practice located at 1615 Polo Rd , Winston Salem NC 27106-3831. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Love, Virginia Leigh can be contacted via phone (336) 722-7266.Contact Information
Primary practice address
1615 Polo Rd
Winston Salem NC 27106-3831
Phone: (336) 722-7266
Fax: (336) 201-0538
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | P007078 | North Carolina |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | C008872 | North Carolina |
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 2490 | North Carolina |
Profile Details
| NPI number | 1013275429 |
|---|---|
| LBN Legal business name | Love, Virginia Leigh |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 24th, 2012 |
| Last updated | Jul 10th, 2020 - about 6 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 | 1013275429 | NPPES |
| North Carolina | Other | 1013275429 | UBH |
| North Carolina | Other | 1822X | UBH |
| North Carolina | Other | 1013275429 | UBH |
| North Carolina | MEDICAID | 1013275429 | UBH |
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