Basic Information
| Provider Information | |||||||||
| NPI: | 1124219977 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | SHROYER | ||||||||
| FirstName: | AMY | ||||||||
| MiddleName: | BALDWIN | ||||||||
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| Credential: | LCAS, CCS | ||||||||
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| Mailing Information | |||||||||
| Address1: | 257 BILTMORE AVE STE 200 | ||||||||
| Address2: | |||||||||
| City: | ASHEVILLE | ||||||||
| State: | NC | ||||||||
| PostalCode: | 288014158 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8282542700 | ||||||||
| FaxNumber: | 8282541524 | ||||||||
| Practice Location | |||||||||
| Address1: | 3 DOCTORS PARK STE G | ||||||||
| Address2: | |||||||||
| City: | ASHEVILLE | ||||||||
| State: | NC | ||||||||
| PostalCode: | 288014521 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8282511478 | ||||||||
| FaxNumber: | 8282515227 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/07/2007 | ||||||||
| LastUpdateDate: | 08/25/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 08/25/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 101YA0400X | 953 | NC | N | Behavioral Health & Social Service Providers | Counselor | Addiction (Substance Use Disorder) | 101YM0800X | N | Behavioral Health & Social Service Providers | Counselor | Mental Health | 101YA0400X | Y | Behavioral Health & Social Service Providers | Counselor | Addiction (Substance Use Disorder) |
No ID Information.