Organization
TL BEARWALLOW LLC
Active
Other names
The Lodge at Bearwallow
Organization subpart
No
Provider details
NPI number
Authorized official
BRETT MCGENNIS (COO)
(412) 742-7546
Entity
Organization
Contact information
Practice address
42 HEROS WAY, HENDERSONVILLE, NC 28792
(877) 279-8972
Mailing address
41 HEROS WAY, HENDERSONVILLE, NC 28792-0145
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103TC1900X
Counseling Psychologist
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
02/26/2024
Last updated
02/26/2024
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