1801070560 NPI number — ASHEVILLE COUNSELING CENTER

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1801070560 NPI number — ASHEVILLE COUNSELING CENTER

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ASHEVILLE COUNSELING CENTER
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:
Provider Other Organization Name Type Code:
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:
1801070560
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
12/18/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1 OAK PLZ
Provider Second Line Business Mailing Address:
SUITE 309
Provider Business Mailing Address City Name:
ASHEVILLE
Provider Business Mailing Address State Name:
NC
Provider Business Mailing Address Postal Code:
28801-3008
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
828-252-8390
Provider Business Mailing Address Fax Number:
828-252-8390

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1 OAK PLZ
Provider Second Line Business Practice Location Address:
SUITE 309
Provider Business Practice Location Address City Name:
ASHEVILLE
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
28801-3008
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
828-252-8390
Provider Business Practice Location Address Fax Number:
828-252-8390
Provider Enumeration Date:
12/18/2007

Additional Information

Authorized Official

Authorized Official Last Name:
MUMPOWER
Authorized Official First Name:
RALPH
Authorized Official Middle Name:
CARL
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
828-252-8390

Provider Taxonomy Codes

  • Taxonomy code: 103T00000X , with the licence number:  1394 , registered in the state of NC ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 6000117 , issued by the state of ( NC ) . This identifiers is of the category "MEDICAID".




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