Provider Demographics
NPI:1861766156
Name:GILLESPIE, ELIZABETH CURRIN (MACC, MED)
Entity type:Individual
Prefix:MRS
First Name:ELIZABETH
Middle Name:CURRIN
Last Name:GILLESPIE
Suffix:
Gender:F
Credentials:MACC, MED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:134 CASTLEROCK DR
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28806-9517
Mailing Address - Country:US
Mailing Address - Phone:828-490-1288
Mailing Address - Fax:
Practice Address - Street 1:20 BATTERY PARK AVE
Practice Address - Street 2:SUITE 818
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28801-2720
Practice Address - Country:US
Practice Address - Phone:828-490-1288
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-03
Last Update Date:2012-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCA8420101YP2500X
NC7014A106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional