Provider Demographics
NPI:1326076696
Name:ALBRIGHT, PAGE DUDLEY (LCMHC)
Entity Type:Individual
Prefix:
First Name:PAGE
Middle Name:DUDLEY
Last Name:ALBRIGHT
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 1:143 BEECH VALLEY EST
Mailing Address - Street 2:
Mailing Address - City:WEAVERVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28787-9126
Mailing Address - Country:US
Mailing Address - Phone:828-713-6438
Mailing Address - Fax:828-645-1352
Practice Address - Street 1:143 BEECH VALLEY EST
Practice Address - Street 2:
Practice Address - City:WEAVERVILLE
Practice Address - State:NC
Practice Address - Zip Code:28787-9126
Practice Address - Country:US
Practice Address - Phone:828-713-6438
Practice Address - Fax:828-645-1352
Is Sole Proprietor?:No
Enumeration Date:2006-06-28
Last Update Date:2021-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC3161101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC136F3OtherBCBSNC GRP # 015HF
NC6102974Medicaid