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Contact Information

1209THERAPY
20 MERION DR
ASHEVILLE, NC28806-1617
 Phone: 612-751-1763
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
Indicates primary specialty

NPI Profile & details for 1209THERAPY · (Female)

NPI # 1861291304
Status Active
Credentials
Entity Individual
Enumeration date 03/08/2025
Last updated 03/08/2025 - More than a year ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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