Provider Demographics
NPI:1871260620
Name:ASHEVILLE DBT & TRAUMA, PLLC
Entity Type:Organization
Organization Name:ASHEVILLE DBT & TRAUMA, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:REBECCA
Authorized Official - Middle Name:ELAINE COX
Authorized Official - Last Name:GRANDA
Authorized Official - Suffix:
Authorized Official - Credentials:MSED, PHD
Authorized Official - Phone:828-549-8113
Mailing Address - Street 1:1 VILLAGE LN STE 3
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28803-2617
Mailing Address - Country:US
Mailing Address - Phone:828-549-8113
Mailing Address - Fax:
Practice Address - Street 1:1 VILLAGE LN STE 3
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28803-2617
Practice Address - Country:US
Practice Address - Phone:828-708-9955
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-27
Last Update Date:2022-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251S00000XAgenciesCommunity/Behavioral Health
No103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounselingGroup - Single Specialty