Healthcare Provider Details
I. General information
NPI: 1598035263
Provider Name (Legal Business Name): KATI HAMM PRESSLY LCSW, LCAS
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 01/11/2012
Last Update Date: 02/27/2023
Certification Date: 02/27/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
935 STATE FARM RD
BOONE NC
28607-4948
US
IV. Provider business mailing address
PO BOX 1490
BOONE NC
28607-1490
US
V. Phone/Fax
- Phone: 828-262-3886
- Fax:
- Phone: 704-939-1100
- Fax: 704-939-1173
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 101YA0400X |
| Taxonomy | Addiction (Substance Use Disorder) Counselor |
| License Number | |
| License Number State | NC |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 1041C0700X |
| Taxonomy | Clinical Social Worker |
| License Number | C009596 |
| License Number State | NC |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: