Provider Demographics
NPI:1508141938
Name:INSTITUTE FOR APPLIED NEUROSCIENCE
Entity Type:Organization
Organization Name:INSTITUTE FOR APPLIED NEUROSCIENCE
Other - Org Name:CENTER FOR ADVANCEMENT OF HUMAN POTENTIAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ED
Authorized Official - Middle Name:
Authorized Official - Last Name:HAMLIN
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:828-251-2882
Mailing Address - Street 1:90 ACTON CIR
Mailing Address - Street 2:
Mailing Address - City:CANDLER
Mailing Address - State:NC
Mailing Address - Zip Code:28715-9210
Mailing Address - Country:US
Mailing Address - Phone:828-251-2882
Mailing Address - Fax:828-633-7073
Practice Address - Street 1:90 ACTON CIR
Practice Address - Street 2:
Practice Address - City:CANDLER
Practice Address - State:NC
Practice Address - Zip Code:28715-9210
Practice Address - Country:US
Practice Address - Phone:828-251-2882
Practice Address - Fax:828-633-7073
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-10-17
Last Update Date:2019-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1581103TC0700X
261QM0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty
No261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)Group - Multi-Specialty