Healthcare Provider Details

I. General information

NPI: 1871407049
Provider Name (Legal Business Name): NORTH CAROLINA INTEGRATIVE WELLNESS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/02/2026
Last Update Date: 10/02/2026
Certification Date: 10/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1011 TUNNEL RD STE 205
ASHEVILLE NC
28805-2081
US

IV. Provider business mailing address

1011 TUNNEL RD STE 205
ASHEVILLE NC
28805-2081
US

V. Phone/Fax

Practice location:
  • Phone: 828-380-4167
  • Fax:
Mailing address:
  • Phone: 828-380-4167
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number
License Number StateNULL

VIII. Authorized Official

Name: ASHLEY BALENO
Title or Position: OWNER
Credential: LAC, LMBT
Phone: 828-380-4167