Organization
APPALACHIAN THERAPY AND EVALUATION CORP
Active
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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