Charita Threatt
Professional Counselor
105 Holly Hill Dive
Petersburg
, Virginia 23805
Charita Threatt
Professional Counselor
105 Holly Hill Dive
Petersburg
, Virginia 23805
(804) 733-8847
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About
Features
Specialties
- Professional Counselor
Languages spoken
- English
Location
First Address
- Charita Threatt
- 105 Holly Hill Dive
- Petersburg, VA
- Zip : 23805
- Phone : (804) 733-8847
Second Address
- Charita Threatt
- 105 Holly Hill Dive
- Petersburg, VA
- Zip : 23805
- Phone : (804) 733-8847
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 101YP2500X | Professional Counselor | 0701006556 | VA |
National Provider Identifier
| NPI | 1003363326 |
|---|---|
| Provider Name | Charita Threatt |
| First Address | Petersburg, VA 23805 |
| Second Address | Petersburg, VA 23805 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 02/09/2016 |
| Last Update Date | 02/09/2016 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.