Basic Information
| Provider Information | |||||||||
| NPI: | 1235863143 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | CURRY | ||||||||
| FirstName: | EVAN | ||||||||
| MiddleName: | BURTON | ||||||||
| NamePrefix: | |||||||||
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| Credential: | LCAS; LCSW-A | ||||||||
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| OtherLastNameType: | |||||||||
| Mailing Information | |||||||||
| Address1: | 577 HAYWOOD RD | ||||||||
| Address2: | |||||||||
| City: | ASHEVILLE | ||||||||
| State: | NC | ||||||||
| PostalCode: | 288063559 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7276435594 | ||||||||
| FaxNumber: | 8285441201 | ||||||||
| Practice Location | |||||||||
| Address1: | 577 HAYWOOD RD | ||||||||
| Address2: | |||||||||
| City: | ASHEVILLE | ||||||||
| State: | NC | ||||||||
| PostalCode: | 288063559 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7276435594 | ||||||||
| FaxNumber: | 8285441201 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/15/2022 | ||||||||
| LastUpdateDate: | 10/13/2022 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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| NPICertificationDate: | 10/13/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 1041C0700X | P016723 | NC | N | Behavioral Health & Social Service Providers | Social Worker | Clinical | 101YA0400X | LCAS-27409 | NC | Y | Behavioral Health & Social Service Providers | Counselor | Addiction (Substance Use Disorder) |
No ID Information.