Organization
HENDERSONVILLE FAMILY HEALTH CENTER-PSYCH
Active
Parent organization
HENDERSON COUNTY HOSPITAL CORPORATION
Organization subpart
Yes
Provider details
NPI number
Legal business name
HENDERSON COUNTY HOSPITAL CORPORATION
Authorized official
ALAN D HOUSE (CFO)
(828) 696-1000
Entity
Organization
Contact information
Practice address
709 N JUSTICE ST, SUITE B, HENDERSONVILLE, NC 28791-3454
(828) 696-1234
Mailing address
PO BOX 63314, CHARLOTTE, NC 28263-3314
(828) 696-1234
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
—
—
103TF0000X
Family Psychologist
Primary
—
—
1041C0700X
Clinical Social Worker
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
016WK
BCBS
NC
Enumeration date
01/22/2008
Last updated
01/04/2011
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