Provider Demographics
NPI:1023616497
Name:PEYTON KINNAIRD, LCMHCS PA
Entity type:Organization
Organization Name:PEYTON KINNAIRD, LCMHCS PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LCMHCS
Authorized Official - Prefix:
Authorized Official - First Name:PEYTON
Authorized Official - Middle Name:L
Authorized Official - Last Name:KINNAIRD
Authorized Official - Suffix:
Authorized Official - Credentials:LCMHCS
Authorized Official - Phone:828-775-5535
Mailing Address - Street 1:24 HAWTHORNE LN
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28801-1608
Mailing Address - Country:US
Mailing Address - Phone:828-775-5535
Mailing Address - Fax:828-544-1201
Practice Address - Street 1:383 MERRIMON AVE STE C
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28801-1223
Practice Address - Country:US
Practice Address - Phone:828-775-5535
Practice Address - Fax:828-544-1201
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-16
Last Update Date:2020-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty