1861599292 NPI number — MS. SIRI SIMRAN KAUR KHALSA LPC, LPCC

Table of content: MS. SIRI SIMRAN KAUR KHALSA LPC, LPCC (NPI 1861599292)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1861599292 NPI number — MS. SIRI SIMRAN KAUR KHALSA LPC, LPCC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
KHALSA
Provider First Name:
SIRI SIMRAN
Provider Middle Name:
KAUR
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
LPC, LPCC
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
KHALSA
Provider Other First Name:
LILLA
Provider Other Middle Name:
SSK
Provider Other Name Prefix Text:
MS.
Provider Other Name Suffix Text:
Provider Other Credential Text:
LPC, LPCC
Provider Other Last Name Type Code:
5

NPI Number Information

NPI Number:
1861599292
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
03/12/2010
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
136 FLYNN BRANCH RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
FLETCHER
Provider Business Mailing Address State Name:
NC
Provider Business Mailing Address Postal Code:
28732-8517
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
828-777-1962
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
200 ASHELAND AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ASHEVILLE
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
28801-4016
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
828-777-1962
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
09/20/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 101YM0800X , with the licence number:  7752 , registered in the state of NC ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 101YM0800X , with the licence number: 0128361 , registered in the state of NM ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)





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