Provider Demographics
NPI:1083246706
Name:HEALD, TOM C
Entity Type:Individual
Prefix:
First Name:TOM
Middle Name:C
Last Name:HEALD
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3 DOCTORS PARK STE G
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28801-4521
Mailing Address - Country:US
Mailing Address - Phone:828-251-1478
Mailing Address - Fax:828-251-5227
Practice Address - Street 1:3 DOCTORS PARK STE G
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28801-4521
Practice Address - Country:US
Practice Address - Phone:828-251-1478
Practice Address - Fax:828-251-5227
Is Sole Proprietor?:Yes
Enumeration Date:2020-02-11
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC13711101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)