Provider Demographics
NPI:1588967541
Name:TOLLMAN, LAURIE S (LCSW, LCAS)
Entity type:Individual
Prefix:
First Name:LAURIE
Middle Name:S
Last Name:TOLLMAN
Suffix:
Gender:F
Credentials:LCSW, LCAS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:567 BEE TREE RD
Mailing Address - Street 2:
Mailing Address - City:SWANNANOA
Mailing Address - State:NC
Mailing Address - Zip Code:28778-2148
Mailing Address - Country:US
Mailing Address - Phone:828-450-0736
Mailing Address - Fax:
Practice Address - Street 1:172 ASHELAND AVE
Practice Address - Street 2:SUITE D2
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28801-4005
Practice Address - Country:US
Practice Address - Phone:828-450-0736
Practice Address - Fax:828-254-3485
Is Sole Proprietor?:Yes
Enumeration Date:2010-12-14
Last Update Date:2013-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0075121041C0700X
NC1638101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)