MEDICARE: JAMIE R EARNHARDT LCMHC, LMHC

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	12827	NC

General Provider Information

NPI Number	:	1952814618
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAMIE R EARNHARDT LCMHC, LMHC

Provider Business Mailing Address
First Line	:	31 COLLEGE PLACE
Second Line	:	BUILDING B, SUITE 200
City	:	ASHEVILLE
State	:	NC
Zip	:	28801-2436
Country	:	US
Telephone Number	:	781-864-8144
Fax Number	:

Provider Business Practice Location Address
First Line	:	25 PRAY ST
Second Line	:
City	:	AMHERST
State	:	MA
Zip	:	01002-2110
Country	:	US
Telephone Number	:	781-864-8144
Fax Number	:

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

Provider Enumeration Date	:	11/15/2017
Last Update Date	:	09/25/2024

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