Provider Demographics
NPI:1225757412
Name:BURCH, DESTINEE' ASRIAHNA (LCSW)
Entity type:Individual
Prefix:
First Name:DESTINEE'
Middle Name:ASRIAHNA
Last Name:BURCH
Suffix:
Gender:
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7010 HWY 751
Mailing Address - Street 2:STE 102
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27707
Mailing Address - Country:US
Mailing Address - Phone:919-234-6192
Mailing Address - Fax:
Practice Address - Street 1:7010 HWY 751
Practice Address - Street 2:STE 102
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27707-6223
Practice Address - Country:US
Practice Address - Phone:919-234-6192
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-23
Last Update Date:2025-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP0177591041C0700X
NCC0182091041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical