Provider Demographics
NPI:1144525064
Name:STERLING, MICHAEL RITNER (M,A, LPC)
Entity type:Individual
Prefix:
First Name:MICHAEL
Middle Name:RITNER
Last Name:STERLING
Suffix:
Gender:M
Credentials:M,A, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:115 LEYTON LOOP UNIT F
Mailing Address - Street 2:
Mailing Address - City:MOORESVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28117-5454
Mailing Address - Country:US
Mailing Address - Phone:704-360-2903
Mailing Address - Fax:
Practice Address - Street 1:115 LEYTON LOOP UNIT F
Practice Address - Street 2:
Practice Address - City:MOORESVILLE
Practice Address - State:NC
Practice Address - Zip Code:28117-5454
Practice Address - Country:US
Practice Address - Phone:704-360-2903
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-01-25
Last Update Date:2013-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC8871101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC6104987Medicaid