Basic Information
Provider Information
NPI: 1851683247
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: LAHTI
FirstName: ANDREA
MiddleName: MARIE
NamePrefix: MS.
NameSuffix:  
Credential: LCSW
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 138 CHARLOTTE ST UNIT 205
Address2:  
City: ASHEVILLE
State: NC
PostalCode: 288011971
CountryCode: US
TelephoneNumber: 8283383777
FaxNumber: 8282541524
Practice Location
Address1: 138 CHARLOTTE ST 205
Address2:  
City: ASHEVILLE
State: NC
PostalCode: 288011971
CountryCode: US
TelephoneNumber: 8283383777
FaxNumber: 8282541524
Other Information
ProviderEnumerationDate: 05/04/2011
LastUpdateDate: 01/01/2016
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
1041C0700XC004697NCY Behavioral Health & Social Service ProvidersSocial WorkerClinical

No ID Information.


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