Healthcare Provider Details
I. General information
NPI: 1841499795
Provider Name (Legal Business Name): STACEY LYNN CURNOW LCMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 07/12/2007
Last Update Date: 11/11/2024
Certification Date: 11/11/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
20 RAVENSCROFT DR
ASHEVILLE NC
28801-3637
US
IV. Provider business mailing address
34 CRESTMONT AVE
ASHEVILLE NC
28806-4409
US
V. Phone/Fax
- Phone: 828-400-6299
- Fax: 828-484-4912
- Phone: 828-400-6299
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 367A00000X |
| Taxonomy | Advanced Practice Midwife |
| License Number | 145086 |
| License Number State | NC |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 101YM0800X |
| Taxonomy | Mental Health Counselor |
| License Number | A148869 |
| License Number State | NC |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YP2500X |
| Taxonomy | Professional Counselor |
| License Number | A14869 |
| License Number State | NC |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: