Healthcare Provider Details

I. General information

NPI: 1508207192
Provider Name (Legal Business Name): HELIOS WARRIORS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/11/2013
Last Update Date: 07/12/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

251 HAYWOOD ST SUITE D
ASHEVILLE NC
28801-2686
US

IV. Provider business mailing address

251 HAYWOOD ST SUITE D
ASHEVILLE NC
28801-2686
US

V. Phone/Fax

Practice location:
  • Phone: 828-299-0776
  • Fax:
Mailing address:
  • Phone: 828-299-0776
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251V00000X
TaxonomyVoluntary or Charitable Agency
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberC007189
License Number StateNC
# 3
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number1063
License Number StateNC
# 4
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number3870
License Number StateNC
# 5
Primary TaxonomyN
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number408
License Number StateNC
# 6
Primary TaxonomyN
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number548
License Number StateNC
# 7
Primary TaxonomyN
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number402
License Number StateNC

VIII. Authorized Official

Name: MRS. ASHELY ELIZABETH POOL
Title or Position: OFFICE MANAGER
Credential:
Phone: 828-299-0776