Healthcare Provider Details

I. General information

NPI: 1710566153
Provider Name (Legal Business Name): EMILIE ELISE HITE MA, LCMHCA, LCASA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/05/2021
Last Update Date: 03/03/2022
Certification Date: 03/03/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

135 BARNARD AVE
ASHEVILLE NC
28804-3225
US

IV. Provider business mailing address

135 BARNARD AVE
ASHEVILLE NC
28804-3225
US

V. Phone/Fax

Practice location:
  • Phone: 828-412-0747
  • Fax: 828-544-1201
Mailing address:
  • Phone: 828-412-0747
  • Fax: 828-544-1201

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number1138411
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License NumberLCAS-25922
License Number StateNC
# 3
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberA15582
License Number StateNC
# 4
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberA15582
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: