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Organization

MOUNTAIN VISTA RECOVERY PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
GEORGE TASEDAN LCAS (OWNER)
(859) 329-3618
Entity
Organization

Contact information

Practice address
2560 ASHEVILLE HWY UNIT 40, HENDERSONVILLE, NC 28791-1475
(859) 329-3618
Mailing address
188 RED SKY RDG, MARS HILL, NC 28754-9510

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
101YM0800X
Mental Health Counselor
251S00000X
Community/Behavioral Health Agency

Other

Enumeration date
03/07/2024
Last updated
03/25/2025
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