Basic Information
Provider Information
NPI: 1417183401
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: WINSTEAD
FirstName: SABRINA
MiddleName: L
NamePrefix: MRS.
NameSuffix:  
Credential: LPC
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 3509 HAWORTH DR
Address2: SUITE 105
City: RALEIGH
State: NC
PostalCode: 276097238
CountryCode: US
TelephoneNumber: 9198967536
FaxNumber: 9198967537
Practice Location
Address1: 3509 HAWORTH DR
Address2: SUITE 105
City: RALEIGH
State: NC
PostalCode: 276097238
CountryCode: US
TelephoneNumber: 9198967536
FaxNumber: 9198967537
Other Information
ProviderEnumerationDate: 06/03/2009
LastUpdateDate: 04/04/2011
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
101YP2500X6991NCY Behavioral Health & Social Service ProvidersCounselorProfessional

No ID Information.


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