Healthcare Provider Details

I. General information

NPI: 1639354111
Provider Name (Legal Business Name): HEATHER MARIE ALFANO LCSW, LCAS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/03/2008
Last Update Date: 08/11/2025
Certification Date: 08/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1095 HENDERSONVILLE RD STE L
ASHEVILLE NC
28803-1894
US

IV. Provider business mailing address

86 PILOT MOUNTAIN RD
HENDERSONVILLE NC
28792-8820
US

V. Phone/Fax

Practice location:
  • Phone: 718-704-3039
  • Fax:
Mailing address:
  • Phone: 718-704-3039
  • Fax: 828-692-7710

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License NumberLCAS-24403
License Number StateNC
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberC011050
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: