Provider Demographics
NPI:1407596406
Name:CARBINE, BETH (LCAS)
Entity Type:Individual
Prefix:
First Name:BETH
Middle Name:
Last Name:CARBINE
Suffix:
Gender:F
Credentials:LCAS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19 TIGER LILY LN LOT 44
Mailing Address - Street 2:
Mailing Address - City:MILLS RIVER
Mailing Address - State:NC
Mailing Address - Zip Code:28759-0080
Mailing Address - Country:US
Mailing Address - Phone:480-570-0269
Mailing Address - Fax:
Practice Address - Street 1:400 BEVERLY HANKS CTR
Practice Address - Street 2:
Practice Address - City:HENDERSONVILLE
Practice Address - State:NC
Practice Address - Zip Code:28792-2303
Practice Address - Country:US
Practice Address - Phone:828-595-9558
Practice Address - Fax:828-595-9598
Is Sole Proprietor?:No
Enumeration Date:2022-03-30
Last Update Date:2022-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCLCAS-28011101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)