Provider Demographics
NPI:1114233525
Name:TRUE COLOR SERVICES, LLC
Entity type:Organization
Organization Name:TRUE COLOR SERVICES, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANNE
Authorized Official - Middle Name:HARRIETTE
Authorized Official - Last Name:BUGEL
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW, MSW, MDIV
Authorized Official - Phone:828-712-8278
Mailing Address - Street 1:251 WEAVERVILLE HWY LOT 8
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28804-1239
Mailing Address - Country:US
Mailing Address - Phone:828-712-8278
Mailing Address - Fax:
Practice Address - Street 1:251 WEAVERVILLE HWY LOT 8
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28804-1239
Practice Address - Country:US
Practice Address - Phone:828-712-8278
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-23
Last Update Date:2010-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YP1600X
NCC0048281041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoralGroup - Multi-Specialty