Healthcare Provider Details

I. General information

NPI: 1396230827
Provider Name (Legal Business Name): LAUREN MARIE MYERS LCMHC, LCAS, NCC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/27/2018
Last Update Date: 08/19/2022
Certification Date: 08/19/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

77 CENTRAL AVE STE A
ASHEVILLE NC
28801-2452
US

IV. Provider business mailing address

77 CENTRAL AVE STE A
ASHEVILLE NC
28801-2452
US

V. Phone/Fax

Practice location:
  • Phone: 828-778-2973
  • Fax: 765-392-4263
Mailing address:
  • Phone: 828-778-2973
  • Fax: 765-392-4263

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License NumberLCAS-23365
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberA16606
License Number StateNC
# 3
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number16606
License Number StateNC
# 4
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberA12921
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: