Healthcare Provider Details

I. General information

NPI: 1700705258
Provider Name (Legal Business Name): ABIGAIL LYN VONDERHAAR
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/10/2026
Last Update Date: 07/10/2026
Certification Date: 07/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3271 GEORGIA RD
FRANKLIN NC
28734-9603
US

IV. Provider business mailing address

100 MOUNTAIN CREEK WAY UNIT 1319
WAYNESVILLE NC
28786-1208
US

V. Phone/Fax

Practice location:
  • Phone: 828-595-9000
  • Fax:
Mailing address:
  • Phone: 336-450-8727
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number31831
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: