Healthcare Provider Details

I. General information

NPI: 1376117226
Provider Name (Legal Business Name): SAMANTHA JAYE CONNER LCMHCA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/16/2021
Last Update Date: 09/09/2026
Certification Date: 09/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14 MINERAL SPRINGS RD
ASHEVILLE NC
28805-1735
US

IV. Provider business mailing address

PO BOX 802
ASHEVILLE NC
28802-0802
US

V. Phone/Fax

Practice location:
  • Phone: 828-277-1315
  • Fax: 828-277-1321
Mailing address:
  • Phone: 828-277-1315
  • Fax: 828-277-1321

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberA22814
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: