MEDICARE: BEHAVIORAL ASSOCIATES OF ASHEBORO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor		NC
2	101YA0400X	Addiction (Substance Use Disorder) Counselor		NC

General Provider Information

NPI Number	:	1033246780
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BEHAVIORAL ASSOCIATES OF ASHEBORO

Provider Business Mailing Address
First Line	:	547 N FAYETTEVILLE ST
Second Line	:
City	:	ASHEBORO
State	:	NC
Zip	:	27203-4725
Country	:	US
Telephone Number	:	336-629-7112
Fax Number	:	336-629-0312

Provider Business Practice Location Address
First Line	:	547 N FAYETTEVILLE ST
Second Line	:
City	:	ASHEBORO
State	:	NC
Zip	:	27203-4725
Country	:	US
Telephone Number	:	336-629-7112
Fax Number	:	336-629-0312

Authorized Official
Title or Position	:	OFFICE MANAGER
Name	:	WANDA L DANIEL
Credential	:
Telephone Number	:	336-629-7112

Provider Enumeration Date	:	02/28/2007
Last Update Date	:	09/11/2025

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