Provider Demographics
NPI:1750404893
Name:GRAVES, AMANDA (LCSW, LCAS)
Entity type:Individual
Prefix:MS
First Name:AMANDA
Middle Name:
Last Name:GRAVES
Suffix:
Gender:F
Credentials:LCSW, LCAS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30 BLAKE ST
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28801-2204
Mailing Address - Country:US
Mailing Address - Phone:828-280-2969
Mailing Address - Fax:828-258-1824
Practice Address - Street 1:29 RAVENSCROFT DR
Practice Address - Street 2:SUITE 201
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28801-3673
Practice Address - Country:US
Practice Address - Phone:828-280-2969
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-06
Last Update Date:2013-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)