Provider Demographics
NPI:1851714158
Name:MCDEVITT-ASKEW, MICHELLE (LLC, MA, LMFTA, LPCA)
Entity Type:Individual
Prefix:
First Name:MICHELLE
Middle Name:
Last Name:MCDEVITT-ASKEW
Suffix:
Gender:F
Credentials:LLC, MA, LMFTA, LPCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10613 FAIRWAY RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28277-8870
Mailing Address - Country:US
Mailing Address - Phone:704-814-4220
Mailing Address - Fax:
Practice Address - Street 1:9914 NEW TOWN RD
Practice Address - Street 2:
Practice Address - City:WAXHAW
Practice Address - State:NC
Practice Address - Zip Code:28173-8578
Practice Address - Country:US
Practice Address - Phone:704-814-4220
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-01-23
Last Update Date:2014-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCA9425101YP2500X
NC8093A106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional