Healthcare Provider Details

I. General information

NPI: 1669638821
Provider Name (Legal Business Name): APPALACHIAN OUTPATIENT SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/06/2008
Last Update Date: 06/27/2025
Certification Date: 06/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11 N COUNTRY CLUB RD
BREVARD NC
28712-8908
US

IV. Provider business mailing address

119 TUNNEL RD STE B
ASHEVILLE NC
28805-1800
US

V. Phone/Fax

Practice location:
  • Phone: 828-884-2475
  • Fax: 828-884-2187
Mailing address:
  • Phone: 814-552-0229
  • Fax: 828-350-1300

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License NumberMHL-045-121
License Number StateNC
# 3
Primary TaxonomyY
Taxonomy Code320800000X
TaxonomyMental Illness Community Based Residential Treatment Facility
License Number
License Number StateNULL
# 4
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name: SASHA MARIE CALLOWAY
Title or Position: CREDENTIALING COORDINATOR
Credential:
Phone: 704-860-8351