Provider Demographics
NPI:1497203590
Name:USHER, KATRINA (MS, LCAS-A, LPC-A)
Entity Type:Individual
Prefix:
First Name:KATRINA
Middle Name:
Last Name:USHER
Suffix:
Gender:F
Credentials:MS, LCAS-A, LPC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:110 WALT HAVEN DR
Mailing Address - Street 2:
Mailing Address - City:LEICESTER
Mailing Address - State:NC
Mailing Address - Zip Code:28748-6477
Mailing Address - Country:US
Mailing Address - Phone:828-772-5730
Mailing Address - Fax:
Practice Address - Street 1:900 HENDERSONVILLE RD
Practice Address - Street 2:LEGACY FREEDOM TREATMENT CENTER
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28803-1734
Practice Address - Country:US
Practice Address - Phone:828-772-5730
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-09-17
Last Update Date:2017-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCLCAS-22759101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)