Healthcare Provider Details

I. General information

NPI: 1942454814
Provider Name (Legal Business Name): COMMUNITY CAREPARTNERS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/05/2008
Last Update Date: 11/26/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

68 SWEETEN CREEK RD
ASHEVILLE NC
28803-2318
US

IV. Provider business mailing address

68 SWEETEN CREEK RD
ASHEVILLE NC
28803-2318
US

V. Phone/Fax

Practice location:
  • Phone: 828-274-2400
  • Fax: 828-277-4808
Mailing address:
  • Phone: 828-274-2400
  • Fax: 828-277-4808

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State

VIII. Authorized Official

Name: SHELLEY GILLESPIE
Title or Position: CREDENTIALING SPECIALIST
Credential:
Phone: 828-277-4800