MEDICARE: AMY BALDWIN SHROYER LCAS, CCS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YA0400X	Addiction (Substance Use Disorder) Counselor	953	NC
2	101YM0800X	Mental Health Counselor
3	101YA0400X	Addiction (Substance Use Disorder) Counselor

General Provider Information

NPI Number	:	1124219977
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMY BALDWIN SHROYER LCAS, CCS

Provider Business Mailing Address
First Line	:	257 BILTMORE AVE STE 200
Second Line	:
City	:	ASHEVILLE
State	:	NC
Zip	:	28801-4158
Country	:	US
Telephone Number	:	828-254-2700
Fax Number	:	828-254-1524

Provider Business Practice Location Address
First Line	:	3 DOCTORS PARK STE G
Second Line	:
City	:	ASHEVILLE
State	:	NC
Zip	:	28801-4521
Country	:	US
Telephone Number	:	828-251-1478
Fax Number	:	828-251-5227

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/07/2007
Last Update Date	:	08/25/2022

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