Healthcare Provider Details

I. General information

NPI: 1053935593
Provider Name (Legal Business Name): LUKE JAMES GILL LCMHC, LCAS, CCS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/01/2020
Last Update Date: 09/15/2026
Certification Date: 09/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 MANILA ST APT A
ASHEVILLE NC
28806-1684
US

IV. Provider business mailing address

1 MANILA ST APT A
ASHEVILLE NC
28806-1684
US

V. Phone/Fax

Practice location:
  • Phone: 919-671-7707
  • Fax:
Mailing address:
  • Phone: 919-671-7707
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number24235
License Number StateNC
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number12629
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: