Basic Information
| Provider Information | |||||||||
| NPI: | 1790386514 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | KAMBRA MEYER LCMHC PLLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 383 MERRIMON AVE STE C | ||||||||
| Address2: | |||||||||
| City: | ASHEVILLE | ||||||||
| State: | NC | ||||||||
| PostalCode: | 288011223 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8283677077 | ||||||||
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| Practice Location | |||||||||
| Address1: | 383 MERRIMON AVE STE C | ||||||||
| Address2: | |||||||||
| City: | ASHEVILLE | ||||||||
| State: | NC | ||||||||
| PostalCode: | 288011223 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8383677077 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 11/06/2020 | ||||||||
| LastUpdateDate: | 11/14/2020 | ||||||||
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| AuthorizedOfficialLastName: | MEYER | ||||||||
| AuthorizedOfficialFirstName: | KAMBRA | ||||||||
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| AuthorizedOfficialTitleorPosition: | LCMHC | ||||||||
| AuthorizedOfficialTelephone: | 8283677077 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | LCMHC | ||||||||
| NPICertificationDate: | 11/14/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 101YA0400X | N | 193200000X MULTI-SPECIALTY GROUP | Behavioral Health & Social Service Providers | Counselor | Addiction (Substance Use Disorder) | 101YP2500X | Y | 193400000X SINGLE SPECIALTY GROUP | Behavioral Health & Social Service Providers | Counselor | Professional |
No ID Information.