Provider Demographics
NPI:1821488610
Name:EVE, ELIZABETH LANGE
Entity Type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:LANGE
Last Name:EVE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11 DEANWOOD CIR
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28803-1808
Mailing Address - Country:US
Mailing Address - Phone:770-315-0179
Mailing Address - Fax:828-785-1792
Practice Address - Street 1:775 HAYWOOD RD
Practice Address - Street 2:SUITE K
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28806-3159
Practice Address - Country:US
Practice Address - Phone:770-315-0179
Practice Address - Fax:828-785-1792
Is Sole Proprietor?:Yes
Enumeration Date:2015-01-31
Last Update Date:2015-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCA9843101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NCA9843OtherNORTH CAROLINA BOARD OF LICENSED PROFESSIONAL COUNSELORS