Healthcare Provider Details

I. General information

NPI: 1588967541
Provider Name (Legal Business Name): LAURIE S TOLLMAN LCSW, LCAS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/14/2010
Last Update Date: 08/04/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

172 ASHELAND AVE SUITE D2
ASHEVILLE NC
28801-4005
US

IV. Provider business mailing address

567 BEE TREE RD
SWANNANOA NC
28778-2148
US

V. Phone/Fax

Practice location:
  • Phone: 828-450-0736
  • Fax: 828-254-3485
Mailing address:
  • Phone: 828-450-0736
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number1638
License Number StateNC
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberC007512
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: