Provider Demographics
NPI:1952723975
Name:WARSTLER, BRANDON CHARLES (LCMHCA, LCAS)
Entity type:Individual
Prefix:
First Name:BRANDON
Middle Name:CHARLES
Last Name:WARSTLER
Suffix:
Gender:M
Credentials:LCMHCA, LCAS
Other - Prefix:
Other - First Name:CHARLIE
Other - Middle Name:
Other - Last Name:WARSTLER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:46 MONTE VISTA CIR
Mailing Address - Street 2:
Mailing Address - City:CANDLER
Mailing Address - State:NC
Mailing Address - Zip Code:28715-9443
Mailing Address - Country:US
Mailing Address - Phone:317-999-5501
Mailing Address - Fax:
Practice Address - Street 1:77 CENTRAL AVE STE D
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28801-4256
Practice Address - Country:US
Practice Address - Phone:828-331-1993
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-01-09
Last Update Date:2024-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCA17363101YP2500X
NC20665101YA0400X, 101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional