Basic Information
| Provider Information | |||||||||
| NPI: | 1942361746 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | SAPP | ||||||||
| FirstName: | CHRISTY | ||||||||
| MiddleName: | VITOU | ||||||||
| NamePrefix: | MRS. | ||||||||
| NameSuffix: | |||||||||
| Credential: | M.A., L.P.C. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 409 WESTOVER DR | ||||||||
| Address2: | |||||||||
| City: | LEXINGTON | ||||||||
| State: | NC | ||||||||
| PostalCode: | 272922345 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3362503130 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 128 N MERRITT AVE | ||||||||
| Address2: | |||||||||
| City: | SALISBURY | ||||||||
| State: | NC | ||||||||
| PostalCode: | 281442636 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7042160283 | ||||||||
| FaxNumber: | 7042160286 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 12/13/2006 | ||||||||
| LastUpdateDate: | 06/22/2021 | ||||||||
| NPIDeactivationReasonCode: | |||||||||
| NPIDeactivationDate: | 12/14/2017 | ||||||||
| NPIReactivationDate: | 06/22/2021 | ||||||||
| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 06/22/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 101Y00000X | 4192 | NC | Y | Behavioral Health & Social Service Providers | Counselor |
No ID Information.