Provider Demographics
NPI:1447446703
Name:WHEAT, CHRIS R (LPC)
Entity type:Individual
Prefix:MR
First Name:CHRIS
Middle Name:R
Last Name:WHEAT
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:109 DANIEL PAUL DR
Mailing Address - Street 2:
Mailing Address - City:ARCHDALE
Mailing Address - State:NC
Mailing Address - Zip Code:27263-3850
Mailing Address - Country:US
Mailing Address - Phone:336-442-7160
Mailing Address - Fax:
Practice Address - Street 1:1320 N HAMILTON ST
Practice Address - Street 2:# 103
Practice Address - City:HIGH POINT
Practice Address - State:NC
Practice Address - Zip Code:27262-2600
Practice Address - Country:US
Practice Address - Phone:336-883-2900
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-20
Last Update Date:2007-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC6687101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional