Healthcare Provider Details

I. General information

NPI: 1902260219
Provider Name (Legal Business Name): KERI RENEE COUNSELING PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/12/2016
Last Update Date: 10/28/2024
Certification Date: 10/28/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

775 HAYWOOD RD STE J
ASHEVILLE NC
28806-7111
US

IV. Provider business mailing address

775 HAYWOOD RD STE J
ASHEVILLE NC
28806-7111
US

V. Phone/Fax

Practice location:
  • Phone: 828-412-0890
  • Fax: 828-392-8001
Mailing address:
  • Phone: 828-412-0890
  • Fax: 828-392-8001

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: KERI RENEE WILLIS
Title or Position: OWNER
Credential: MA, NCC, LCMHC
Phone: 828-412-0890