Provider Demographics
NPI:1528263985
Name:MALAJATI, EMILIE TAYLOR (LPC)
Entity type:Individual
Prefix:MS
First Name:EMILIE
Middle Name:TAYLOR
Last Name:MALAJATI
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:111 STONECREST DR
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28803-8514
Mailing Address - Country:US
Mailing Address - Phone:828-296-7550
Mailing Address - Fax:282-296-7554
Practice Address - Street 1:111 STONECREST DR
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28803-8514
Practice Address - Country:US
Practice Address - Phone:828-296-7550
Practice Address - Fax:282-296-7554
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC3330101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health