Provider Demographics
NPI:1679140172
Name:CATHERINE TUCKER, PHD, LCMHCS COUNSELING & CONSULTING PLLC
Entity Type:Organization
Organization Name:CATHERINE TUCKER, PHD, LCMHCS COUNSELING & CONSULTING PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARY
Authorized Official - Middle Name:CATHERINE
Authorized Official - Last Name:TUCKER
Authorized Official - Suffix:
Authorized Official - Credentials:PHD LCMHCS
Authorized Official - Phone:828-523-8797
Mailing Address - Street 1:959 MERRIMON AVE # 8B
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28804-2353
Mailing Address - Country:US
Mailing Address - Phone:828-523-8797
Mailing Address - Fax:
Practice Address - Street 1:959 MERRIMON AVE # 8B
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28804-2353
Practice Address - Country:US
Practice Address - Phone:828-523-8797
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-04
Last Update Date:2021-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305S00000XManaged Care OrganizationsPoint of Service
Provider Identifiers
StateIdentifier IDID TypeIssuer
14787813028OtherINDIVIDUAL NPI