Healthcare Provider Details

I. General information

NPI: 1104440726
Provider Name (Legal Business Name): BLUE RIDGE HOPE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/29/2020
Last Update Date: 03/01/2026
Certification Date: 03/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

314 US HIGHWAY 221A
FOREST CITY NC
28043-5902
US

IV. Provider business mailing address

314 US HIGHWAY 221A
FOREST CITY NC
28043-5902
US

V. Phone/Fax

Practice location:
  • Phone: 828-202-3075
  • Fax: 828-382-2976
Mailing address:
  • Phone: 828-202-3075
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 6
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State

VIII. Authorized Official

Name: MRS. ALLYSON SMITH
Title or Position: ASSISTANT EXECUTIVE DIRECTOR
Credential:
Phone: 828-429-2221