Organization
KEITH IDELL, LCSW, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BILLY KEITH IDELL LCSW (PRESIDENT/OWNER)
(828) 200-3739
Entity
Organization
Contact information
Practice address
5 ALLEN AVE STE B, ASHEVILLE, NC 28803-2272
(828) 200-3739
(828) 575-2698
Mailing address
1 BRADDOCK WAY, ASHEVILLE, NC 28803-2035
(828) 200-3739
(828) 575-2698
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
C201412200314
NC
Other
Enumeration date
05/20/2014
Last updated
05/20/2014
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