Provider Demographics
NPI:1154165082
Name:SINK, CHASTITY STARR (LCMHCA)
Entity type:Individual
Prefix:
First Name:CHASTITY
Middle Name:STARR
Last Name:SINK
Suffix:
Gender:F
Credentials:LCMHCA
Other - Prefix:
Other - First Name:STARR
Other - Middle Name:
Other - Last Name:SINK
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LCMHCA
Mailing Address - Street 1:835 HISTORIAN ST
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27603-3490
Mailing Address - Country:US
Mailing Address - Phone:562-787-2464
Mailing Address - Fax:
Practice Address - Street 1:6 YORKSHIRE ST STE D
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28803-2768
Practice Address - Country:US
Practice Address - Phone:828-724-7166
Practice Address - Fax:828-724-7165
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-24
Last Update Date:2024-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCA20164101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health