Healthcare Provider Details

I. General information

NPI: 1649131798
Provider Name (Legal Business Name): DOGWOOD PSYCHIATRY PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/19/2025
Last Update Date: 11/19/2025
Certification Date: 11/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 SHADOWLINE DR STE 204
BOONE NC
28607-5022
US

IV. Provider business mailing address

400 SHADOWLINE DR STE 204
BOONE NC
28607-5022
US

V. Phone/Fax

Practice location:
  • Phone: 828-202-9765
  • Fax: 877-847-0561
Mailing address:
  • Phone: 828-202-9765
  • Fax: 877-847-0561

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. ALYCIA MOORE BROWN
Title or Position: OWNER
Credential: MD
Phone: 828-202-9765