Healthcare Provider Details

I. General information

NPI: 1295100253
Provider Name (Legal Business Name): HOLLY LEBLANC LCSWA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/02/2015
Last Update Date: 01/16/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

276 E CHESTNUT ST
ASHEVILLE NC
28801-2036
US

IV. Provider business mailing address

301 E MEETING ST
MORGANTON NC
28655-3593
US

V. Phone/Fax

Practice location:
  • Phone: 828-437-3000
  • Fax: 828-437-4999
Mailing address:
  • Phone: 828-437-3000
  • Fax: 828-437-4999

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number20801
License Number StateNC
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberC011272
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: