Provider Demographics
NPI:1043644313
Name:BLACK MOUNTAIN FAMILY CHIROPRACTIC AND WELLNESS CENTER
Entity Type:Organization
Organization Name:BLACK MOUNTAIN FAMILY CHIROPRACTIC AND WELLNESS CENTER
Other - Org Name:HAVEN HEALING CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER, CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ALAINA
Authorized Official - Middle Name:N
Authorized Official - Last Name:GELINEAU
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:828-772-5053
Mailing Address - Street 1:420 SWANNANOA RIVER RD
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28805-2335
Mailing Address - Country:US
Mailing Address - Phone:828-848-8709
Mailing Address - Fax:828-848-8703
Practice Address - Street 1:113 RICHARDSON BLVD
Practice Address - Street 2:
Practice Address - City:BLACK MOUNTAIN
Practice Address - State:NC
Practice Address - Zip Code:28711-3526
Practice Address - Country:US
Practice Address - Phone:828-848-8709
Practice Address - Fax:828-848-8703
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-08-22
Last Update Date:2023-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC4360111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty