Healthcare Provider Details

I. General information

NPI: 1659832418
Provider Name (Legal Business Name): CATHERINE DUBOSE PRATHER-LOEWEN
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/26/2019
Last Update Date: 04/04/2024
Certification Date: 04/04/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 ELKS CLUB RD
BREVARD NC
28712-4842
US

IV. Provider business mailing address

PO BOX 293
PENROSE NC
28766-0293
US

V. Phone/Fax

Practice location:
  • Phone: 828-620-3036
  • Fax: 828-692-7710
Mailing address:
  • Phone: 828-620-3036
  • Fax: 828-692-7710

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: CATHERINE DUBOSE PRATHER-LOEWEN
Title or Position: LCSW, LCAS
Credential: LCSW, LCAS
Phone: 828-620-3036