Healthcare Provider Details

I. General information

NPI: 1194127191
Provider Name (Legal Business Name): BRIAN KREHER LCMHC, LCAS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/22/2014
Last Update Date: 04/01/2026
Certification Date: 04/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

164 BERTON ST
BOONE NC
28607-6027
US

IV. Provider business mailing address

713 S MARSHALL ST
WINSTON SALEM NC
27101-5808
US

V. Phone/Fax

Practice location:
  • Phone: 618-910-3078
  • Fax:
Mailing address:
  • Phone: 336-722-7266
  • Fax: 336-201-0538

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number11162
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number1064
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: