Provider Demographics
NPI:1952866618
Name:ABE, FUMIE (LCMHC, LCAS)
Entity Type:Individual
Prefix:
First Name:FUMIE
Middle Name:
Last Name:ABE
Suffix:
Gender:F
Credentials:LCMHC, LCAS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1001 S LINDELL RD UNIT 206
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27403-2000
Mailing Address - Country:US
Mailing Address - Phone:310-400-4301
Mailing Address - Fax:
Practice Address - Street 1:1001 S LINDELL RD UNIT 206
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27403-2000
Practice Address - Country:US
Practice Address - Phone:310-400-4301
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-02-07
Last Update Date:2024-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC14605101YA0400X
NC24749101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)