Provider Demographics
NPI:1932258811
Name:METCALF, GRETA FRITZ (LCMHC/LCMHCS)
Entity Type:Individual
Prefix:MRS
First Name:GRETA
Middle Name:FRITZ
Last Name:METCALF
Suffix:
Gender:F
Credentials:LCMHC/LCMHCS
Other - Prefix:MISS
Other - First Name:GRETA
Other - Middle Name:LOUISE
Other - Last Name:FRITZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 865
Mailing Address - Street 2:
Mailing Address - City:CULLOWHEE
Mailing Address - State:NC
Mailing Address - Zip Code:28723-0865
Mailing Address - Country:US
Mailing Address - Phone:828-399-1399
Mailing Address - Fax:828-586-2490
Practice Address - Street 1:3770 SKYLAND DR
Practice Address - Street 2:
Practice Address - City:SYLVA
Practice Address - State:NC
Practice Address - Zip Code:28779-8360
Practice Address - Country:US
Practice Address - Phone:283-991-3998
Practice Address - Fax:828-586-2490
Is Sole Proprietor?:No
Enumeration Date:2007-01-09
Last Update Date:2021-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC3896101YM0800X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC135P6OtherBCBS PROVIDER #
NC6102287Medicaid