Provider Demographics
| NPI: | 1295390409 |
|---|---|
| Name: | MOUNTAIN AREA HEALTH EDUCATION CENTER, INC. |
| Entity type: | Organization |
| Organization Name: | MOUNTAIN AREA HEALTH EDUCATION CENTER, INC. |
| Other - Org Name: | <UNAVAIL> |
| Other - Org Type: | |
| Authorized Official - Title/Position: | CEO |
| Authorized Official - Prefix: | |
| Authorized Official - First Name: | WILLIAM |
| Authorized Official - Middle Name: | ROBERT |
| Authorized Official - Last Name: | HATHAWAY |
| Authorized Official - Suffix: | |
| Authorized Official - Credentials: | MD |
| Authorized Official - Phone: | 828-257-4405 |
| Mailing Address - Street 1: | 119 HENDERSONVILLE RD |
| Mailing Address - Street 2: | |
| Mailing Address - City: | ASHEVILLE |
| Mailing Address - State: | NC |
| Mailing Address - Zip Code: | 28803-2868 |
| Mailing Address - Country: | US |
| Mailing Address - Phone: | |
| Mailing Address - Fax: | |
| Practice Address - Street 1: | 125 HENDERSONVILLE RD |
| Practice Address - Street 2: | |
| Practice Address - City: | ASHEVILLE |
| Practice Address - State: | NC |
| Practice Address - Zip Code: | 28803-2868 |
| Practice Address - Country: | US |
| Practice Address - Phone: | 828-398-3601 |
| Practice Address - Fax: | 828-333-5465 |
| EIN: | <UNAVAIL> |
| Is Organization Subpart?: | No |
| Parent Organization LBN: | |
| Parent Organization TIN: | |
| Enumeration Date: | 2019-05-02 |
| Last Update Date: | 2025-08-18 |
| Deactivation Date: | |
| Deactivation Code: | |
| Reactivation Date: |
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization | Group |
|---|---|---|---|---|---|
| Yes | 261QF0400X | Ambulatory Health Care Facilities | Clinic/Center | Federally Qualified Health Center (FQHC) | Group - Multi-Specialty |
| No | 363L00000X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Group - Multi-Specialty | |
| No | 363LF0000X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Family | Group - Multi-Specialty |
| No | 363LP0808X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Psychiatric/Mental Health | Group - Multi-Specialty |
| No | 101YA0400X | Behavioral Health & Social Service Providers | Counselor | Addiction (Substance Use Disorder) | Group - Multi-Specialty |
| No | 101YP2500X | Behavioral Health & Social Service Providers | Counselor | Professional | Group - Multi-Specialty |
| No | 103T00000X | Behavioral Health & Social Service Providers | Psychologist | Group - Multi-Specialty | |
| No | 1041C0700X | Behavioral Health & Social Service Providers | Social Worker | Clinical | Group - Multi-Specialty |
| No | 2084P0800X | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | Psychiatry | Group - Multi-Specialty |
| No | 2084P0802X | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | Addiction Psychiatry | Group - Multi-Specialty |
| No | 2084P0804X | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | Child & Adolescent Psychiatry | Group - Multi-Specialty |
| No | 2084P0805X | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | Geriatric Psychiatry | Group - Multi-Specialty |
| No | 251S00000X | Agencies | Community/Behavioral Health | Group - Multi-Specialty |