Provider Demographics
NPI:1003176967
Name:SIAS, CORRIE ELISABETH (LCMHC)
Entity Type:Individual
Prefix:MRS
First Name:CORRIE
Middle Name:ELISABETH
Last Name:SIAS
Suffix:
Gender:F
Credentials:LCMHC
Other - Prefix:MISS
Other - First Name:CORRIE
Other - Middle Name:ELISABETH
Other - Last Name:BURCH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:220 5TH AVE E
Mailing Address - Street 2:
Mailing Address - City:HENDERSONVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28792-4377
Mailing Address - Country:US
Mailing Address - Phone:828-692-4289
Mailing Address - Fax:828-696-1794
Practice Address - Street 1:146 NESBITT RDG
Practice Address - Street 2:
Practice Address - City:LAKE LURE
Practice Address - State:NC
Practice Address - Zip Code:28746-0057
Practice Address - Country:US
Practice Address - Phone:828-625-4400
Practice Address - Fax:828-625-4455
Is Sole Proprietor?:No
Enumeration Date:2012-05-24
Last Update Date:2023-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC15486101YP2500X
101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional