1780347435 NPI number — WOVEN WELLBEING PLLC

Table of content: (NPI 1780347435)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1780347435 NPI number — WOVEN WELLBEING PLLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
WOVEN WELLBEING PLLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
WOVEN WELLBEING
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1780347435
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
05/30/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
311 OLD HAW CREEK RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
ASHEVILLE
Provider Business Mailing Address State Name:
NC
Provider Business Mailing Address Postal Code:
28805-1401
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2535 WESTOVER DR
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
HENDERSON
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
27536-4865
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
828-276-3404
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
10/20/2021

Additional Information

Authorized Official

Authorized Official Last Name:
ADDINGTON
Authorized Official First Name:
HANNAH
Authorized Official Middle Name:
YASMEEN
Authorized Official Title or Position:
CLINICAL MENTAL HEALTH COUNSELOR
Authorized Official Telephone Number:
828-276-3404

Provider Taxonomy Codes

  • Taxonomy code: 251S00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: A17065 . This is a "NORTH CAROLINA LICENSE NUMBER" identifier , issued by the state of ( NC ) . This identifiers is of the category "OTHER".




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