Provider Demographics
NPI:1083941397
Name:WESTERN NORTH CAROLINA THERAPEUTIC SOLUTIONS LLC
Entity Type:Organization
Organization Name:WESTERN NORTH CAROLINA THERAPEUTIC SOLUTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:RENEE
Authorized Official - Middle Name:STEWART
Authorized Official - Last Name:HANNAH
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:828-736-3402
Mailing Address - Street 1:PO BOX 176
Mailing Address - Street 2:
Mailing Address - City:SYLVA
Mailing Address - State:NC
Mailing Address - Zip Code:28779-0176
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:441 HAYWOOD ROAD
Practice Address - Street 2:
Practice Address - City:DILLSBORO
Practice Address - State:NC
Practice Address - Zip Code:28725-0000
Practice Address - Country:US
Practice Address - Phone:828-736-3402
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-11-06
Last Update Date:2009-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health