Provider Demographics
NPI:1245012582
Name:HIGH COUNTRY BEHAVIOR SUPPORTS AND CONSULTATION
Entity type:Organization
Organization Name:HIGH COUNTRY BEHAVIOR SUPPORTS AND CONSULTATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PSYCHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:CYNTHIA
Authorized Official - Middle Name:
Authorized Official - Last Name:ANDERSON
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:828-760-0352
Mailing Address - Street 1:120 EASTBROOK DR
Mailing Address - Street 2:
Mailing Address - City:BOONE
Mailing Address - State:NC
Mailing Address - Zip Code:28607-3666
Mailing Address - Country:US
Mailing Address - Phone:508-375-5158
Mailing Address - Fax:984-202-2104
Practice Address - Street 1:1760 HIGHWAY 105
Practice Address - Street 2:
Practice Address - City:BOONE
Practice Address - State:NC
Practice Address - Zip Code:28607-7808
Practice Address - Country:US
Practice Address - Phone:828-970-3057
Practice Address - Fax:984-202-2104
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-20
Last Update Date:2025-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health