Provider Demographics
NPI:1275083628
Name:NEW ASHEVILLE AUDIOLOGY SERVICES, PLLC
Entity Type:Organization
Organization Name:NEW ASHEVILLE AUDIOLOGY SERVICES, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:NAINA
Authorized Official - Middle Name:
Authorized Official - Last Name:BALLACHANDA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:505-435-9454
Mailing Address - Street 1:1101 BRICKELL AVE STE N401
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33131-3105
Mailing Address - Country:US
Mailing Address - Phone:786-563-4010
Mailing Address - Fax:
Practice Address - Street 1:900 HENDERSONVILLE RD STE 105
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28803-1763
Practice Address - Country:US
Practice Address - Phone:828-348-1690
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:LIFESTYLE HEARING CORPORATION USA, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2016-10-10
Last Update Date:2016-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty