Provider Demographics
NPI:1518190396
Name:APPALACHIAN COUNSELING AND EVALUATION CENTER, PLLC
Entity Type:Organization
Organization Name:APPALACHIAN COUNSELING AND EVALUATION CENTER, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DAWN
Authorized Official - Middle Name:VICTORIA
Authorized Official - Last Name:BEHREND
Authorized Official - Suffix:
Authorized Official - Credentials:MA, LPA
Authorized Official - Phone:828-757-5675
Mailing Address - Street 1:2780 MORGANTON BLVD SW
Mailing Address - Street 2:
Mailing Address - City:LENOIR
Mailing Address - State:NC
Mailing Address - Zip Code:28645-8632
Mailing Address - Country:US
Mailing Address - Phone:828-757-5675
Mailing Address - Fax:828-757-8643
Practice Address - Street 1:416 PINELOA STREET
Practice Address - Street 2:
Practice Address - City:NEWLAND
Practice Address - State:NC
Practice Address - Zip Code:28657-8865
Practice Address - Country:US
Practice Address - Phone:828-757-5675
Practice Address - Fax:828-757-8643
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:APPALACHIAN COUNSELING AND EVALUATION CENTER, PLLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2009-08-27
Last Update Date:2009-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5148101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty