Healthcare Provider Details

I. General information

NPI: 1952139685
Provider Name (Legal Business Name): CHLOE GOBEL LCSWA, LCASA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/24/2024
Last Update Date: 09/04/2024
Certification Date: 09/04/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

723 FAIRVIEW RD
ASHEVILLE NC
28803-1107
US

IV. Provider business mailing address

723 FAIRVIEW RD
ASHEVILLE NC
28803-1107
US

V. Phone/Fax

Practice location:
  • Phone: 828-350-8343
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number30007
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberP020724
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: