Healthcare Provider Details

I. General information

NPI: 1275292815
Provider Name (Legal Business Name): SHAWNA OHLE LCMHCA, LCASA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/10/2021
Last Update Date: 01/04/2022
Certification Date: 01/04/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

356 BILTMORE AVE
ASHEVILLE NC
28801-4504
US

IV. Provider business mailing address

356 BILTMORE AVE
ASHEVILLE NC
28801-4504
US

V. Phone/Fax

Practice location:
  • Phone: 256-577-4235
  • Fax:
Mailing address:
  • Phone: 828-407-1029
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberA16678
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: