MEDICARE: RHIANNON LESLIE BURK LCMHC

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	101YM0800X	Mental Health Counselor	13042	NC
2	101YP2500X	Professional Counselor	13042	NC

General Provider Information

NPI Number	:	1467924936
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RHIANNON LESLIE BURK LCMHC

Provider Business Mailing Address
First Line	:	60 WESTWOOD PL
Second Line	:
City	:	ASHEVILLE
State	:	NC
Zip	:	28806-4224
Country	:	US
Telephone Number	:	720-427-8866
Fax Number	:

Provider Business Practice Location Address
First Line	:	383 MERRIMON AVE STE C
Second Line	:
City	:	ASHEVILLE
State	:	NC
Zip	:	28801-1223
Country	:	US
Telephone Number	:	828-775-5535
Fax Number	:

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

Provider Enumeration Date	:	12/21/2018
Last Update Date	:	04/20/2026

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