Healthcare Provider Details

I. General information

NPI: 1780564690
Provider Name (Legal Business Name): ERIN DEUEL LCMHCA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/03/2025
Last Update Date: 09/03/2025
Certification Date: 08/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

895 STATE FARM RD STE 403-9
BOONE NC
28607-4917
US

IV. Provider business mailing address

895 STATE FARM RD STE 403-9
BOONE NC
28607-4917
US

V. Phone/Fax

Practice location:
  • Phone: 828-263-4603
  • Fax:
Mailing address:
  • Phone: 828-263-4603
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberA21943
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: