Healthcare Provider Details

I. General information

NPI: 1477390342
Provider Name (Legal Business Name): ANNA MAY DELLAGUARDIA LCASA, LCMHCA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/09/2024
Last Update Date: 06/16/2026
Certification Date: 06/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

410 SWANNANOA RIVER RD
ASHEVILLE NC
28805-2328
US

IV. Provider business mailing address

PO BOX 8879
ASHEVILLE NC
28814-8879
US

V. Phone/Fax

Practice location:
  • Phone: 866-700-1606
  • Fax: 866-338-5921
Mailing address:
  • Phone: 866-700-1606
  • Fax: 866-338-5921

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberA19966
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License NumberLCAS-29705
License Number StateNC
# 3
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberA19966
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: