Wooten, Thea

Wooten, Thea is an sole proprietor health care provider with primary practice located at 612 Signal Hill Drive Ext , Statesville NC 28625-4353. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Wooten, Thea can be contacted via phone (704) 872-0234.

Contact Information

Primary practice address
612 Signal Hill Drive Ext Statesville NC 28625-4353
Phone: (704) 872-0234
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 23390 North Carolina

Profile Details

NPI number 1083155154
LBN Legal business name Wooten, Thea
Credentials MA, LCASA
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 9th, 2017
Last updated Mar 9th, 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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