Healthcare Provider Details

I. General information

NPI: 1417878596
Provider Name (Legal Business Name): BK FOUNDATIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/23/2026
Last Update Date: 07/23/2026
Certification Date: 07/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

90 CHURCH ST
ASHEVILLE NC
28801-3622
US

IV. Provider business mailing address

90 CHURCH ST
ASHEVILLE NC
28801-3622
US

V. Phone/Fax

Practice location:
  • Phone: 828-702-6967
  • Fax:
Mailing address:
  • Phone: 828-702-6967
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MR. MICHAEL D'ANGELO
Title or Position: EXECUTIVE DIRECTOR
Credential: LCMHCS
Phone: 828-702-6967