Basic Information
Provider Information
NPI: 1740639343
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: CORTES-FIGUEROA
FirstName: DAMARIS
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: LCMHC, MS/P, NCC, QP
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 2521 HAYWOOD RD
Address2:  
City: HENDERSONVILLE
State: NC
PostalCode: 287911852
CountryCode: US
TelephoneNumber: 8284897002
FaxNumber:  
Practice Location
Address1: 840 FLEMING ST STE 5
Address2:  
City: HENDERSONVILLE
State: NC
PostalCode: 287913541
CountryCode: US
TelephoneNumber: 8285952748
FaxNumber: 8285952716
Other Information
ProviderEnumerationDate: 06/06/2016
LastUpdateDate: 06/20/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 06/20/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
101YP2500X12047NCN Behavioral Health & Social Service ProvidersCounselorProfessional
101YM0800X12047NCY Behavioral Health & Social Service ProvidersCounselorMental Health

No ID Information.


Home