Healthcare Provider Details

I. General information

NPI: 1922233634
Provider Name (Legal Business Name): SKYLAND BEHAVIORAL HEALTH ASSOCIATES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/26/2009
Last Update Date: 05/26/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 OAK PLZ SUITE 206
ASHEVILLE NC
28801-3008
US

IV. Provider business mailing address

1 OAK PLZ SUITE 206
ASHEVILLE NC
28801-3008
US

V. Phone/Fax

Practice location:
  • Phone: 828-252-2501
  • Fax: 828-252-2701
Mailing address:
  • Phone: 828-252-2501
  • Fax: 828-252-2701

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2080P0006X
TaxonomyDevelopmental - Behavioral Pediatrics Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: HEATHER SCOTT
Title or Position: PRACTICE MANAGER
Credential:
Phone: 828-253-0643