1124786033 NPI number — AUBREY VICTORIA JOBES VAN PATTEN LCMHC

Table of content: AUBREY VICTORIA JOBES VAN PATTEN LCMHC (NPI 1124786033)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1124786033 NPI number — AUBREY VICTORIA JOBES VAN PATTEN LCMHC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
VAN PATTEN
Provider First Name:
AUBREY
Provider Middle Name:
VICTORIA JOBES
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
LCMHC
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1124786033
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
08/28/2026
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
90 BENNETT RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
CANDLER
Provider Business Mailing Address State Name:
NC
Provider Business Mailing Address Postal Code:
28715-9234
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
615-308-4166
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1977 HENDERSONVILLE RD STE 4
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:
28803-2199
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
828-585-4950
Provider Business Practice Location Address Fax Number:
828-212-9592
Provider Enumeration Date:
12/08/2021

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: 101YP2500X , with the licence number:  16937 , registered in the state of NC ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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