Organization
NCNG
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LARISA O'HANNON (BHO)
(828) 301-3579
Entity
Organization
Contact information
Practice address
3551 ROGER BROOKE DR, FORT SAM HOUSTON, TX 78234-4504
(210) 916-9588
Mailing address
12 BLUE SMOKE TRL, SWANNANOA, NC 28778-8811
(828) 301-3579
(000) 000-0000
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
08/28/2024
Last updated
03/12/2026
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