Provider Demographics
NPI:1063110567
Name:OSBAHR, ALBERT JAMES IV (LCSWA, LCAS-A)
Entity type:Individual
Prefix:MR
First Name:ALBERT
Middle Name:JAMES
Last Name:OSBAHR
Suffix:IV
Gender:M
Credentials:LCSWA, LCAS-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:166 LAUREL LOOP
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28806-2718
Mailing Address - Country:US
Mailing Address - Phone:828-734-2135
Mailing Address - Fax:
Practice Address - Street 1:1 OAK STREET, OFFICE 305
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28803
Practice Address - Country:US
Practice Address - Phone:864-504-2550
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-02-23
Last Update Date:2023-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP0186521041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical