Provider Demographics
NPI:1518372747
Name:AYERS, MARY B (LCSW-A)
Entity Type:Individual
Prefix:
First Name:MARY
Middle Name:B
Last Name:AYERS
Suffix:
Gender:F
Credentials:LCSW-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:301 E MEETING ST
Mailing Address - Street 2:SUITE 11
Mailing Address - City:MORGANTON
Mailing Address - State:NC
Mailing Address - Zip Code:28655-3593
Mailing Address - Country:US
Mailing Address - Phone:828-475-6199
Mailing Address - Fax:828-475-6197
Practice Address - Street 1:301 E MEETING ST
Practice Address - Street 2:SUITE 11
Practice Address - City:MORGANTON
Practice Address - State:NC
Practice Address - Zip Code:28655-3593
Practice Address - Country:US
Practice Address - Phone:828-475-6199
Practice Address - Fax:828-475-6197
Is Sole Proprietor?:Yes
Enumeration Date:2014-06-26
Last Update Date:2014-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP0089361041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical