Provider Demographics
NPI:1235960360
Name:FERRY, LUCAS TAYLOR (LCMHC)
Entity type:Individual
Prefix:
First Name:LUCAS
Middle Name:TAYLOR
Last Name:FERRY
Suffix:
Gender:
Credentials:LCMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14 APPLE BLOSSOM LN
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28806-1441
Mailing Address - Country:US
Mailing Address - Phone:724-610-0923
Mailing Address - Fax:
Practice Address - Street 1:4 NORTHCREST DR
Practice Address - Street 2:
Practice Address - City:WEAVERVILLE
Practice Address - State:NC
Practice Address - Zip Code:28787-4500
Practice Address - Country:US
Practice Address - Phone:724-610-0923
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-10
Last Update Date:2025-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCA20211101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health