Basic Information
| Provider Information | |||||||||
| NPI: | 1578961116 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | APPALACHIAN COUNSELING AND PSYCHOLOGICAL SERVICES | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1 OAK PLZ STE 208 | ||||||||
| Address2: | |||||||||
| City: | ASHEVILLE | ||||||||
| State: | NC | ||||||||
| PostalCode: | 288013000 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8285759760 | ||||||||
| FaxNumber: | 8285759761 | ||||||||
| Practice Location | |||||||||
| Address1: | 1 OAK PLZ STE 208 | ||||||||
| Address2: | |||||||||
| City: | ASHEVILLE | ||||||||
| State: | NC | ||||||||
| PostalCode: | 288013000 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8285759760 | ||||||||
| FaxNumber: | 8285759761 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 12/14/2014 | ||||||||
| LastUpdateDate: | 12/15/2020 | ||||||||
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| AuthorizedOfficialLastName: | STEWART | ||||||||
| AuthorizedOfficialFirstName: | JAMES | ||||||||
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| AuthorizedOfficialTitleorPosition: | EXECUTIVE DIRECTOR | ||||||||
| AuthorizedOfficialTelephone: | 8285759760 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | LPA | ||||||||
| NPICertificationDate: | 12/15/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 101YM0800X | N | 193200000X MULTI-SPECIALTY GROUP | Behavioral Health & Social Service Providers | Counselor | Mental Health | 1041C0700X | N | 193200000X MULTI-SPECIALTY GROUP | Behavioral Health & Social Service Providers | Social Worker | Clinical | 251S00000X | COO7220 | NC | N | Agencies | Community/Behavioral Health | 103T00000X | Y | 193200000X MULTI-SPECIALTY GROUP | Behavioral Health & Social Service Providers | Psychologist |
No ID Information.