Organization
APPALACHIAN THERAPY AND EVALUATION CORP
Active
Other names
Mentor Behavioral Healthcare, Inc
Organization subpart
No
Provider details
NPI number
Authorized official
CRAIG BOWMAN MCKINNEY LCSW (MANAGER)
(828) 263-6158
Entity
Organization
Contact information
Practice address
249 WILSON DR STE 5, BOONE, NC 28607-8782
(828) 278-9498
(877) 211-7323
Mailing address
PO BOX 1361, BOONE, NC 28607-1361
(828) 278-9498
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
2555
NC
1041C0700X
Clinical Social Worker
Primary
C010375
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6107381
—
ND
Enumeration date
11/03/2017
Last updated
03/17/2018
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