Provider Demographics
NPI:1922806306
Name:GYLYS, REGINA ZINA (LCMHCA)
Entity type:Individual
Prefix:
First Name:REGINA
Middle Name:ZINA
Last Name:GYLYS
Suffix:
Gender:F
Credentials:LCMHCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:165 ONTEORA BLVD
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28803-1050
Mailing Address - Country:US
Mailing Address - Phone:828-367-7719
Mailing Address - Fax:828-820-5503
Practice Address - Street 1:802 FAIRVIEW RD OFC 4
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28803-1171
Practice Address - Country:US
Practice Address - Phone:828-367-7719
Practice Address - Fax:828-820-5503
Is Sole Proprietor?:No
Enumeration Date:2025-03-03
Last Update Date:2025-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCA20216101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional