Basic Information
Provider Information
NPI: 1548848955
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: LEHMAN
FirstName: DAVID
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: LCMHCA
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1 OAK PLZ STE 208
Address2:  
City: ASHEVILLE
State: NC
PostalCode: 288013000
CountryCode: US
TelephoneNumber: 8285759760
FaxNumber:  
Practice Location
Address1: 1 OAK PLZ STE 208
Address2:  
City: ASHEVILLE
State: NC
PostalCode: 288013000
CountryCode: US
TelephoneNumber: 8285759760
FaxNumber:  
Other Information
ProviderEnumerationDate: 03/30/2021
LastUpdateDate: 03/30/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 03/30/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
101YM0800XA15924NCY193400000X SINGLE SPECIALTY GROUPBehavioral Health & Social Service ProvidersCounselorMental Health

No ID Information.


Home