Healthcare Provider Details

I. General information

NPI: 1346312766
Provider Name (Legal Business Name): HOLLY K HARRIS LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/14/2006
Last Update Date: 04/03/2024
Certification Date: 04/03/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1100 TUNNEL RD
ASHEVILLE NC
28805-2576
US

IV. Provider business mailing address

310 IVY DR
RUTHERFORDTON NC
28139-3233
US

V. Phone/Fax

Practice location:
  • Phone: 828-288-2780
  • Fax: 828-299-5804
Mailing address:
  • Phone: 828-305-8889
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberC004164
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: