Provider Demographics
NPI:1710723499
Name:MOUNTAIN RECOVERY & MENTAL WELLNESS, PLLC
Entity type:Organization
Organization Name:MOUNTAIN RECOVERY & MENTAL WELLNESS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ORGANIZER/MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:CINDY
Authorized Official - Middle Name:
Authorized Official - Last Name:HOCKMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MSN, APRN, FNP-C
Authorized Official - Phone:301-452-6770
Mailing Address - Street 1:1141 TUNNEL RD
Mailing Address - Street 2:SUITE C #19261
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28805
Mailing Address - Country:US
Mailing Address - Phone:828-283-0179
Mailing Address - Fax:844-907-3048
Practice Address - Street 1:103 NOBLE RD
Practice Address - Street 2:
Practice Address - City:FAIRVIEW
Practice Address - State:NC
Practice Address - Zip Code:28730-9535
Practice Address - Country:US
Practice Address - Phone:828-283-0179
Practice Address - Fax:844-907-3048
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-02
Last Update Date:2024-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)