Provider Demographics
NPI:1922233634
Name:SKYLAND BEHAVIORAL HEALTH ASSOCIATES
Entity Type:Organization
Organization Name:SKYLAND BEHAVIORAL HEALTH ASSOCIATES
Other - Org Name:SKYLAND BEHAVIORAL MEDICINE
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:PRACTICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:HEATHER
Authorized Official - Middle Name:
Authorized Official - Last Name:SCOTT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:828-253-0643
Mailing Address - Street 1:1 OAK PLZ
Mailing Address - Street 2:SUITE 206
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28801-3008
Mailing Address - Country:US
Mailing Address - Phone:828-252-2501
Mailing Address - Fax:828-252-2701
Practice Address - Street 1:1 OAK PLZ
Practice Address - Street 2:SUITE 206
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28801-3008
Practice Address - Country:US
Practice Address - Phone:828-252-2501
Practice Address - Fax:828-252-2701
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-05-26
Last Update Date:2009-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty
No2080P0006XAllopathic & Osteopathic PhysiciansPediatricsDevelopmental - Behavioral PediatricsGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC890248QMedicaid