Healthcare Provider Details

I. General information

NPI: 1538575972
Provider Name (Legal Business Name): WILLIAM JAMES TROUTMAN LPC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/07/2014
Last Update Date: 04/20/2020
Certification Date: 04/20/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

802 FAIRVIEW RD STE 4000
ASHEVILLE NC
28803-1170
US

IV. Provider business mailing address

900 SAINT ANDREWS RD
COLUMBIA SC
29210-5816
US

V. Phone/Fax

Practice location:
  • Phone: 800-305-2089
  • Fax: 443-640-4358
Mailing address:
  • Phone: 803-731-4708
  • Fax: 803-612-1206

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number5695
License Number StateSC
# 2
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number15700
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: