Basic Information
Provider Information
NPI: 1326140005
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: DAVY
FirstName: VANESSA
MiddleName: ANNE
NamePrefix:  
NameSuffix:  
Credential: LCSW
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 800 FLEMING ST
Address2:  
City: HENDERSONVILLE
State: NC
PostalCode: 287913528
CountryCode: US
TelephoneNumber:  
FaxNumber: 8286939560
Practice Location
Address1: 257 BILTMORE AVE
Address2:  
City: ASHEVILLE
State: NC
PostalCode: 288014158
CountryCode: US
TelephoneNumber: 8282582597
FaxNumber: 8282859679
Other Information
ProviderEnumerationDate: 09/02/2006
LastUpdateDate: 05/01/2014
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
1041C0700XC005415NCY Behavioral Health & Social Service ProvidersSocial WorkerClinical
1041C0700XLC6935MEN Behavioral Health & Social Service ProvidersSocial WorkerClinical

No ID Information.


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