Healthcare Provider Details

I. General information

NPI: 1225314586
Provider Name (Legal Business Name): BLACK MOUNTAIN COUNSELING CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/31/2011
Last Update Date: 07/23/2026
Certification Date: 07/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

201 N RIDGEWAY AVE
BLACK MOUNTAIN NC
28711-3506
US

IV. Provider business mailing address

201 N RIDGEWAY AVE
BLACK MOUNTAIN NC
28711-3506
US

V. Phone/Fax

Practice location:
  • Phone: 828-669-9798
  • Fax: 828-544-1080
Mailing address:
  • Phone: 828-669-9798
  • Fax: 828-544-1080

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: SUSAN ELAINE LOONEY
Title or Position: DIRECTOR
Credential:
Phone: 828-669-9798