Healthcare Provider Details

I. General information

NPI: 1992617799
Provider Name (Legal Business Name): WILLIAM BRIAN GOODLETT LCAS-A
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/18/2026
Last Update Date: 09/18/2026
Certification Date: 09/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

302 STONE RIDGE BLVD
ASHEVILLE NC
28804-8313
US

IV. Provider business mailing address

710 SAND HILL RD LOT 43
ASHEVILLE NC
28806-1577
US

V. Phone/Fax

Practice location:
  • Phone: 828-239-8852
  • Fax:
Mailing address:
  • Phone: 828-707-7850
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License NumberLCAS-31642
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: