Provider Demographics
NPI:1477096303
Name:BLACK MOUNTAIN ACADMEY
Entity Type:Organization
Organization Name:BLACK MOUNTAIN ACADMEY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPERATIONS DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:MCCOY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:828-357-4383
Mailing Address - Street 1:501 W STATE ST
Mailing Address - Street 2:
Mailing Address - City:BLACK MOUNTAIN
Mailing Address - State:NC
Mailing Address - Zip Code:28711-2745
Mailing Address - Country:US
Mailing Address - Phone:828-357-4383
Mailing Address - Fax:828-365-6033
Practice Address - Street 1:501 W STATE ST
Practice Address - Street 2:
Practice Address - City:BLACK MOUNTAIN
Practice Address - State:NC
Practice Address - Zip Code:28711-2745
Practice Address - Country:US
Practice Address - Phone:828-357-4383
Practice Address - Fax:828-365-6033
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-11-26
Last Update Date:2016-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)