Provider Demographics
NPI:1124112859
Name:COUNSELING FOR GROWTH AND HEALING
Entity type:Organization
Organization Name:COUNSELING FOR GROWTH AND HEALING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANGER
Authorized Official - Prefix:MS
Authorized Official - First Name:VALERIE
Authorized Official - Middle Name:B
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:MA, LPC, NCC, AAPC
Authorized Official - Phone:828-698-4840
Mailing Address - Street 1:PO BOX 240
Mailing Address - Street 2:
Mailing Address - City:MOUNTAIN HOME
Mailing Address - State:NC
Mailing Address - Zip Code:28758-0240
Mailing Address - Country:US
Mailing Address - Phone:828-698-4840
Mailing Address - Fax:828-698-4840
Practice Address - Street 1:244 5TH AVE W
Practice Address - Street 2:SUITE 104
Practice Address - City:HENDERSONVILLE
Practice Address - State:NC
Practice Address - Zip Code:28739-4302
Practice Address - Country:US
Practice Address - Phone:828-608-4840
Practice Address - Fax:828-698-4840
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2015251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC11060OtherBLUECROSSBLUESHIELD
NC2072840OtherCIGNA BEHAVIORAL HEALTH
NC6102828Medicaid