Healthcare Provider Details
I. General information
NPI: 1538576582
Provider Name (Legal Business Name): ABBEY MARIE HENSON-IVES LCMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 07/22/2014
Last Update Date: 10/17/2024
Certification Date: 10/17/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
254 MEADOW PATHWAY DR
FLETCHER NC
28732-6531
US
IV. Provider business mailing address
750 W US HIGHWAY 64
MURPHY NC
28906-8115
US
V. Phone/Fax
- Phone: 828-276-2950
- Fax:
- Phone: 828-837-0071
- Fax: 828-837-5309
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 101YP2500X |
| Taxonomy | Professional Counselor |
| License Number | 10985 |
| License Number State | NC |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YP2500X |
| Taxonomy | Professional Counselor |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: