Healthcare Provider Details
I. General information
NPI: 1326242835
Provider Name (Legal Business Name): APPALACHIAN COUNSELING
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/11/2007
Last Update Date: 02/07/2008
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
89 HOSPITAL DR SUITE A
BREVARD NC
28712-3000
US
IV. Provider business mailing address
PO BOX 2649
HENDERSONVILLE NC
28793-2649
US
V. Phone/Fax
- Phone: 828-885-8255
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YM0800X |
| Taxonomy | Mental Health Counselor |
| License Number | |
| License Number State | NC |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 101YP2500X |
| Taxonomy | Professional Counselor |
| License Number | |
| License Number State | NC |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2084P0800X |
| Taxonomy | Psychiatry Physician |
| License Number | |
| License Number State | NC |
VIII. Authorized Official
Name:
MARGARET
R
FOLEY
Title or Position: COO
Credential: LCSW
Phone: 828-692-7300