Diane Rokita Pridgen, ACSW,LCSW
Individual provider Active NPI Professional Counselor · Halifax, NC
NPI 1992865620 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1992865620
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- C000362 (NC)
- Practice address
- 19 North Dobbs Street
Halifax, NC 27839-0010 - Phone
- (252) 583-5021
- NPI assigned
- Dec 11, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C000362 | NC | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| County of Halifax | Past |
Accepting new patients | |
| Halifax County Health Department | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | C000362 | NC | Yes |
Addresses
Primary practice location
19 North Dobbs Street
Halifax, NC 27839-0010
Mailing address
19 North Dobbs Street
Halifax, NC 27839-0010
Phone (252) 583-5021
Other providers in Halifax, NC
- Halifax County Schools
- Life, Inc.
- Lighthouse Transportation LLC
- Janice Tillery Myrick
- Elizabeth Boyd Odom
- Brandi N Ross
- Rural Health Group Inc
- Rural Health Group Inc
- Rural Health Group Inc
- Solomon Shapiro
All providers in Halifax, NC · Professional Counselor in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.