=====================================================
General NPI Number Information
=====================================================
NPI Number | 1669813325
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | WESTERN HIGHLANDS AREA AUTHORITY
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/10/2013
-----------------------------------------------------
Last Update Date | 07/10/2013
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 356 BILTMORE AVE
-----------------------------------------------------
City | ASHEVILLE
-----------------------------------------------------
State | NC
-----------------------------------------------------
Zip | 28801-4504
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 800-671-6560
-----------------------------------------------------
Fax | 828-225-2785
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 356 BILTMORE AVE
-----------------------------------------------------
City | ASHEVILLE
-----------------------------------------------------
State | NC
-----------------------------------------------------
Zip | 28801-4504
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 800-671-6560
-----------------------------------------------------
Fax | 828-225-2785
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | COO
-----------------------------------------------------
Name | MR. CHARLES A SCHOENHEIT
-----------------------------------------------------
Credential | LCSW
-----------------------------------------------------
Telephone | 800-671-6560
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 302F00000X
-----------------------------------------------------
Taxonomy Name | Exclusive Provider Organization
-----------------------------------------------------
License Number | 6703001
-----------------------------------------------------
License Number State | NC
-----------------------------------------------------