MEDICARE: MS. PEYTON LEIGH KINNAIRD LCMHC, LCMHCS

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	4917	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1689606089
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. PEYTON LEIGH KINNAIRD LCMHC, LCMHCS

Provider Business Mailing Address
First Line	:	24 HAWTHORNE LN
Second Line	:
City	:	ASHEVILLE
State	:	NC
Zip	:	28801-1608
Country	:	US
Telephone Number	:	828-775-5535
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	:	828-544-1201

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

Provider Enumeration Date	:	07/07/2006
Last Update Date	:	10/16/2020

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