Healthcare Provider Details

I. General information

NPI: 1659678175
Provider Name (Legal Business Name): EMMA JEAN PLUTA LCMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/18/2011
Last Update Date: 12/11/2023
Certification Date: 11/14/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

49 LAUREL TER
ASHEVILLE NC
28804-1759
US

IV. Provider business mailing address

49 LAUREL TER
ASHEVILLE NC
28804-1759
US

V. Phone/Fax

Practice location:
  • Phone: 828-206-1700
  • Fax:
Mailing address:
  • Phone: 828-206-1700
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number8537
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number8537
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: