Healthcare Provider Details

I. General information

NPI: 1093677007
Provider Name (Legal Business Name): CYPRESS GROVE WELLNESS INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/27/2025
Last Update Date: 11/27/2025
Certification Date: 11/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

44 N FRENCH BROAD AVE
ASHEVILLE NC
28801-2602
US

IV. Provider business mailing address

146 ROBERTS ST UNIT 637
ASHEVILLE NC
28801-3170
US

V. Phone/Fax

Practice location:
  • Phone: 828-230-4905
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: JUSTIN T ALLARD
Title or Position: COO
Credential:
Phone: 828-230-4905