Provider Demographics
NPI:1316682891
Name:CALEB LANTZ PUSEY, PLLC
Entity type:Organization
Organization Name:CALEB LANTZ PUSEY, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:CALEB
Authorized Official - Middle Name:LANTZ
Authorized Official - Last Name:PUSEY
Authorized Official - Suffix:
Authorized Official - Credentials:LCMHC, MDIV, MA
Authorized Official - Phone:865-216-7538
Mailing Address - Street 1:29 LONGVIEW RD
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28806-4418
Mailing Address - Country:US
Mailing Address - Phone:865-216-7538
Mailing Address - Fax:
Practice Address - Street 1:100 CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28801-2419
Practice Address - Country:US
Practice Address - Phone:828-332-5198
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-29
Last Update Date:2023-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty