Healthcare Provider Details

I. General information

NPI: 1922372705
Provider Name (Legal Business Name): AMBER HENNING LPC-A
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/27/2012
Last Update Date: 05/29/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2 COMPTON DR
ASHEVILLE NC
28806-2054
US

IV. Provider business mailing address

PO BOX 16708 2 COMPTON DRIVE
ASHEVILLE NC
28816-0708
US

V. Phone/Fax

Practice location:
  • Phone: 828-254-5356
  • Fax: 828-259-5384
Mailing address:
  • Phone: 828-254-5356
  • Fax: 828-259-5384

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number2666
License Number StateNC
# 2
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number8907
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: