Healthcare Provider Details

I. General information

NPI: 1730899097
Provider Name (Legal Business Name): ELIZABETH LEFOLDT STRUB PMHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: ELIZABETH LEFOLDT FARR RN

II. Dates (important events)

Enumeration Date: 11/28/2022
Last Update Date: 01/02/2026
Certification Date: 01/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

29 COLLEGE PLACE
ASHEVILLE NC
28801-2406
US

IV. Provider business mailing address

600A CENTREPARK DRIVE
ASHEVILLE NC
28805-1276
US

V. Phone/Fax

Practice location:
  • Phone: 828-575-9760
  • Fax: 828-575-9761
Mailing address:
  • Phone: 828-575-9760
  • Fax: 828-575-9761

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number5023488
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number405467
License Number StateNY
# 3
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number0000266220
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: