Healthcare Provider Details

I. General information

NPI: 1710116942
Provider Name (Legal Business Name): F.I.R.S.T.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/09/2009
Last Update Date: 05/01/2023
Certification Date: 05/01/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

77 CENTRAL AVE STE E
ASHEVILLE NC
28801-2451
US

IV. Provider business mailing address

PO BOX 802
ASHEVILLE NC
28802-0802
US

V. Phone/Fax

Practice location:
  • Phone: 828-277-1315
  • Fax: 828-277-1321
Mailing address:
  • Phone: 828-277-1315
  • Fax: 828-277-1321

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: JANET PRICE FERRELL
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 828-216-7745