Healthcare Provider Details

I. General information

NPI: 1619480340
Provider Name (Legal Business Name): KYRIE ELIZABETH SCHMIT LPCA, NBCC, RBT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/16/2017
Last Update Date: 08/02/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1085 TUNNEL RD STE 7A
ASHEVILLE NC
28805
US

IV. Provider business mailing address

79 CRAIG CIR
ASHEVILLE NC
28805-2015
US

V. Phone/Fax

Practice location:
  • Phone: 828-350-1188
  • Fax:
Mailing address:
  • Phone: 818-642-8708
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberA13554
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License NumberRBT-17-43018
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: