Provider Demographics
NPI:1477668598
Name:LETTRE, LOUISE YVETTE (LCSW, LCAS-A)
Entity Type:Individual
Prefix:
First Name:LOUISE
Middle Name:YVETTE
Last Name:LETTRE
Suffix:
Gender:F
Credentials:LCSW, LCAS-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:70 WOODFIN PL STE 304
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28801-2466
Mailing Address - Country:US
Mailing Address - Phone:828-621-9119
Mailing Address - Fax:
Practice Address - Street 1:70 WOODFIN PL STE 304
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28801-2466
Practice Address - Country:US
Practice Address - Phone:828-621-9119
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-20
Last Update Date:2021-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC1501263101YA0400X
NC21939101YA0400X
SC86801041C0700X
NCC0086501041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC421504Medicaid
SC3340Medicare ID - Type UnspecifiedMEDICARE