Provider Demographics
NPI:1801070560
Name:ASHEVILLE COUNSELING CENTER
Entity type:Organization
Organization Name:ASHEVILLE COUNSELING CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:RALPH
Authorized Official - Middle Name:CARL
Authorized Official - Last Name:MUMPOWER
Authorized Official - Suffix:III
Authorized Official - Credentials:PHD
Authorized Official - Phone:828-252-8390
Mailing Address - Street 1:1 OAK PLZ
Mailing Address - Street 2:SUITE 309
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28801-3008
Mailing Address - Country:US
Mailing Address - Phone:828-252-8390
Mailing Address - Fax:828-252-8390
Practice Address - Street 1:1 OAK PLZ
Practice Address - Street 2:SUITE 309
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28801-3008
Practice Address - Country:US
Practice Address - Phone:828-252-8390
Practice Address - Fax:828-252-8390
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-18
Last Update Date:2007-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1394103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC6000117Medicaid
NC2819217Medicare PIN