Provider Demographics
NPI:1073377669
Name:PEOPLE & PAWS PSYCHOLOGICAL SERVICES, PLLC
Entity Type:Organization
Organization Name:PEOPLE & PAWS PSYCHOLOGICAL SERVICES, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:ATHENA MANIYA
Authorized Official - Middle Name:LIMPIN
Authorized Official - Last Name:DACANAY
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:828-668-2389
Mailing Address - Street 1:1095 HENDERSONVILLE RD STE C1
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28803-1894
Mailing Address - Country:US
Mailing Address - Phone:828-668-2389
Mailing Address - Fax:252-270-3090
Practice Address - Street 1:1095 HENDERSONVILLE RD STE C1
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28803-1894
Practice Address - Country:US
Practice Address - Phone:828-668-2389
Practice Address - Fax:252-270-3090
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-13
Last Update Date:2024-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty