Healthcare Provider Details

I. General information

NPI: 1811832108
Provider Name (Legal Business Name): CORESPONSE COLLABORATIVE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/22/2026
Last Update Date: 04/22/2026
Certification Date: 04/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

53 DIXS GAP CIR
CULLOWHEE NC
28723-6842
US

IV. Provider business mailing address

53 DIXS GAP CIR
CULLOWHEE NC
28723-6842
US

V. Phone/Fax

Practice location:
  • Phone: 828-450-5988
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: CYNTHIA CARAVELIS
Title or Position: CEO
Credential:
Phone: 828-450-5988