Healthcare Provider Details

I. General information

NPI: 1720558679
Provider Name (Legal Business Name): MARK STEVEN ACKERMAN JR. LPCA
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/03/2018
Last Update Date: 12/09/2025
Certification Date: 12/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

34 ORANGE ST
ASHEVILLE NC
28801-2341
US

IV. Provider business mailing address

34 ORANGE ST
ASHEVILLE NC
28801-2341
US

V. Phone/Fax

Practice location:
  • Phone: 828-532-6717
  • Fax:
Mailing address:
  • Phone: 828-532-6717
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number12619
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberQS135919
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: