Basic Information
Provider Information
NPI: 1114338159
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: STONE
FirstName: KATHRYN
MiddleName: D
NamePrefix:  
NameSuffix:  
Credential: LCMHC
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 29 RAVENSCROFT DR
Address2:  
City: ASHEVILLE
State: NC
PostalCode: 288013649
CountryCode: US
TelephoneNumber: 8595760244
FaxNumber: 8285441201
Practice Location
Address1: 29 RAVENSCROFT DR
Address2:  
City: ASHEVILLE
State: NC
PostalCode: 288013649
CountryCode: US
TelephoneNumber: 8595760244
FaxNumber: 8285441201
Other Information
ProviderEnumerationDate: 05/13/2014
LastUpdateDate: 02/24/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 02/24/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
101YP2500X1434KYN Behavioral Health & Social Service ProvidersCounselorProfessional
101YP2500X12232NCN Behavioral Health & Social Service ProvidersCounselorProfessional
101YM0800X12232NCY Behavioral Health & Social Service ProvidersCounselorMental Health

No ID Information.


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