Provider Demographics
NPI:1689869489
Name:GYOERKOE, CHRIS D (LCMHC)
Entity Type:Individual
Prefix:
First Name:CHRIS
Middle Name:D
Last Name:GYOERKOE
Suffix:
Gender:M
Credentials:LCMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:395 3RD AVE SW
Mailing Address - Street 2:
Mailing Address - City:TAYLORSVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28681-4180
Mailing Address - Country:US
Mailing Address - Phone:828-578-8808
Mailing Address - Fax:
Practice Address - Street 1:118 PEACE ST
Practice Address - Street 2:
Practice Address - City:N WILKESBORO
Practice Address - State:NC
Practice Address - Zip Code:28659-4519
Practice Address - Country:US
Practice Address - Phone:336-667-1440
Practice Address - Fax:336-667-1489
Is Sole Proprietor?:No
Enumeration Date:2007-09-14
Last Update Date:2022-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC6807101YM0800X
FLMH4387101YP2500X
101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health