Provider Demographics
NPI:1669102596
Name:MWASITI, FANI (THERAPIST)
Entity type:Individual
Prefix:
First Name:FANI
Middle Name:
Last Name:MWASITI
Suffix:
Gender:F
Credentials:THERAPIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5316 HIGHGATE DR STE 222
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27713-6629
Mailing Address - Country:US
Mailing Address - Phone:919-361-6800
Mailing Address - Fax:
Practice Address - Street 1:5316 HIGHGATE DR STE 222
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27713-6629
Practice Address - Country:US
Practice Address - Phone:919-361-6800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-06-14
Last Update Date:2022-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical