Healthcare Provider Details

I. General information

NPI: 1649184896
Provider Name (Legal Business Name): VIRGINIA ODESSA WELLS-LAYNE LCMHCA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/02/2026
Last Update Date: 10/02/2026
Certification Date: 10/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20 RAVENSCROFT DR
ASHEVILLE NC
28801-3637
US

IV. Provider business mailing address

1000 OLDE EASTWOOD VILLAGE BLVD UNIT A101
ASHEVILLE NC
28803-1781
US

V. Phone/Fax

Practice location:
  • Phone: 828-400-6299
  • Fax:
Mailing address:
  • Phone: 828-242-2376
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberA23564
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: