Healthcare Provider Details

I. General information

NPI: 1174430664
Provider Name (Legal Business Name): KIRBY KNIGHT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/27/2026
Last Update Date: 08/27/2026
Certification Date: 08/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

120 CASCADE ST
MARS HILL NC
28754-9135
US

IV. Provider business mailing address

34 COLLINS MOUNTAIN DR
ASHEVILLE NC
28804-9113
US

V. Phone/Fax

Practice location:
  • Phone: 901-619-7377
  • Fax:
Mailing address:
  • Phone: 901-619-7377
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License NumberLCAS-29358
License Number StateNC
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberP024399
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: