MEDICARE: PARKWAY BEHAVIORAL HEALTH LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251S00000X	Community/Behavioral Health Agency	MHL081072	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	018PV	OTHER	NC	BCBS

General Provider Information

NPI Number	:	1548339062
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PARKWAY BEHAVIORAL HEALTH LLC

Provider Business Mailing Address
First Line	:	31 COLLEGE PL
Second Line	:	B100
City	:	ASHEVILLE
State	:	NC
Zip	:	28801-2400
Country	:	US
Telephone Number	:	828-254-5008
Fax Number	:

Provider Business Practice Location Address
First Line	:	271 CALLAHAN KOON RD
Second Line	:
City	:	SPINDALE
State	:	NC
Zip	:	28160-2207
Country	:	US
Telephone Number	:	828-288-8773
Fax Number	:	828-288-9577

Authorized Official
Title or Position	:	PARTNER
Name	:	SANDRA LAYTON
Credential	:
Telephone Number	:	828-254-5008

Provider Enumeration Date	:	11/07/2006
Last Update Date	:	03/24/2009

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