Provider Demographics
NPI:1316287329
Name:ANALENISGI BEHAVIORAL HEALTH SERVICES
Entity type:Organization
Organization Name:ANALENISGI BEHAVIORAL HEALTH SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MASTER LEVEL THERAPIST
Authorized Official - Prefix:MR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:DALE
Authorized Official - Last Name:WHITEHORN
Authorized Official - Suffix:
Authorized Official - Credentials:MSW, LCSWA, LCASA
Authorized Official - Phone:828-554-6541
Mailing Address - Street 1:59 ECHOTA CHURCH RD
Mailing Address - Street 2:
Mailing Address - City:CHEROKEE
Mailing Address - State:NC
Mailing Address - Zip Code:28719-9702
Mailing Address - Country:US
Mailing Address - Phone:828-554-6541
Mailing Address - Fax:828-497-6977
Practice Address - Street 1:59 ECHOTA CHURCH RD
Practice Address - Street 2:
Practice Address - City:CHEROKEE
Practice Address - State:NC
Practice Address - Zip Code:28719-9702
Practice Address - Country:US
Practice Address - Phone:828-554-6541
Practice Address - Fax:828-497-6977
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-02-28
Last Update Date:2013-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP006733261QM0850X, 261QM0855X
NC3147-A261QM0850X, 261QM0855X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
No261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health