Provider Demographics
NPI:1245848134
Name:POPIELARCZYK, MATTHEW JOSHUA (LCMHC)
Entity type:Individual
Prefix:
First Name:MATTHEW
Middle Name:JOSHUA
Last Name:POPIELARCZYK
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 1:206 EXECUTIVE PARK
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28801-2427
Mailing Address - Country:US
Mailing Address - Phone:828-782-3601
Mailing Address - Fax:
Practice Address - Street 1:206 EXECUTIVE PARK
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28801-2427
Practice Address - Country:US
Practice Address - Phone:828-782-3601
Practice Address - Fax:828-505-4443
Is Sole Proprietor?:Yes
Enumeration Date:2020-07-17
Last Update Date:2024-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SCTLC267PC101YM0800X, 101YP2500X
FLTPMC3905101YM0800X, 101YP2500X
NC16025101YP2500X, 101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional