Provider Demographics
NPI:1083875306
Name:FITZGIBBON, LYRIC RACHEL (LCMHC)
Entity Type:Individual
Prefix:
First Name:LYRIC
Middle Name:RACHEL
Last Name:FITZGIBBON
Suffix:
Gender:F
Credentials:LCMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:417 BILTMORE AVE STE 5H2
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28801-4501
Mailing Address - Country:US
Mailing Address - Phone:828-768-2536
Mailing Address - Fax:888-884-7627
Practice Address - Street 1:417 BILTMORE AVE STE 5H2
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28801-4501
Practice Address - Country:US
Practice Address - Phone:828-768-2536
Practice Address - Fax:888-884-7627
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-19
Last Update Date:2023-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC7000101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC6103932Medicaid