Provider Demographics
NPI:1619480340
Name:SCHMIT, KYRIE ELIZABETH (LPCA, NBCC, RBT)
Entity type:Individual
Prefix:
First Name:KYRIE
Middle Name:ELIZABETH
Last Name:SCHMIT
Suffix:
Gender:F
Credentials:LPCA, NBCC, RBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:79 CRAIG CIR
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28805-2015
Mailing Address - Country:US
Mailing Address - Phone:818-642-8708
Mailing Address - Fax:
Practice Address - Street 1:1085 TUNNEL RD STE 7A
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28805
Practice Address - Country:US
Practice Address - Phone:828-350-1188
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-11-16
Last Update Date:2018-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCRBT-17-43018106S00000X
NCA13554101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No106S00000XBehavioral Health & Social Service ProvidersBehavior TechnicianGroup - Multi-Specialty