Provider Demographics
NPI:1003475906
Name:NEUROTRANSFORMATION CENTER
Entity Type:Organization
Organization Name:NEUROTRANSFORMATION CENTER
Other - Org Name:NEUROTRANSFORMATION CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:
Authorized Official - Last Name:BARNARD
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:828-225-1773
Mailing Address - Street 1:43 HIGHLAND ST
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28801-1808
Mailing Address - Country:US
Mailing Address - Phone:828-225-1773
Mailing Address - Fax:
Practice Address - Street 1:43 HIGHLAND ST
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28801-1808
Practice Address - Country:US
Practice Address - Phone:828-225-1773
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-06-13
Last Update Date:2022-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty