Healthcare Provider Details

I. General information

NPI: 1306452164
Provider Name (Legal Business Name): CHANNING KENT NCC, LCMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/17/2020
Last Update Date: 12/18/2025
Certification Date: 12/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5 DOCTORS PARK STE I2
ASHEVILLE NC
28801-4520
US

IV. Provider business mailing address

68 FINALEE AVE
ASHEVILLE NC
28803-2544
US

V. Phone/Fax

Practice location:
  • Phone: 828-595-3917
  • Fax: 888-251-2669
Mailing address:
  • Phone: 828-595-3917
  • Fax: 888-251-2669

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number15871
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: