# BLUE RIDGE MENTAL HEALTH, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Blue Ridge Mental Health
- **Organization subpart:** No

## Provider details

- **NPI number:** 1518788686
- **Authorized official:** DR. CECILIA P FAUST MD (CLINICAL OUTREACH MANAGER, CO-OWNER)
- **Authorized official phone:** (336) 515-1193

## Contact information

- **Practice address:** 3740 BREVARD RD \#216, HORSE SHOE, NC 28742-1137
- **Practice address phone:** (336) 515-1193
- **Mailing address:** 3740 BREVARD RD \#216, HORSE SHOE, NC 28742-1137
- **Mailing address phone:** (336) 515-1193

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2084P0804X | Child & Adolescent Psychiatry Physician | — | — | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 10/22/2024
- **Last updated:** 02/05/2025