Healthcare Provider Details

I. General information

NPI: 1639393036
Provider Name (Legal Business Name): GLORIA LEE QUINTON LMHC, RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/13/2007
Last Update Date: 04/30/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12 CEDAR RIDGE DR
ASHEVILLE NC
28880
US

IV. Provider business mailing address

12 CEDAR RIDGE DR
ASHEVILLE NC
28806
US

V. Phone/Fax

Practice location:
  • Phone: 828-776-1068
  • Fax:
Mailing address:
  • Phone: 828-776-1068
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMH 8016
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number7443
License Number StateNC
# 3
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number216460
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: