Healthcare Provider Details

I. General information

NPI: 1124939525
Provider Name (Legal Business Name): ALICE BAUMAN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/15/2026
Last Update Date: 09/15/2026
Certification Date: 09/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

274 WHITE PINE DR
ASHEVILLE NC
28805-2224
US

IV. Provider business mailing address

274 WHITE PINE DR
ASHEVILLE NC
28805-2224
US

V. Phone/Fax

Practice location:
  • Phone: 828-838-3645
  • Fax:
Mailing address:
  • Phone: 828-838-3645
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberA20513
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: