Doctor Name: | MRS. MARY O SOTILE |
NPI Number: | 1740223437 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA, LPC |
License Number: | LPC652 |
Business Practice Address: | 1396 Old Mill Circle Sotile Psychological Associates, Pllc Winston-salem, NC - 27103 |
Business Phone Number: | 3367653032 |
Business Fax Number: | 3367606977 |
Mailing Address: | 155 Saint Charles Ln, MOORESVILLE |
State: | NC |
Postal Code: | 281178459 |
Phone Number: | 3367653032 |
Fax Number: | 3367606977 |
NPI Enumeration Date: | 06/13/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | LPC652 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |