| Blue Ridge Expressive Arts, Inc. | |
|
379 New Market Blvd Boone NC 28607-3765 | |
| (828) 767-9942 | |
| Not Available |
| Full Name | Blue Ridge Expressive Arts, Inc. |
|---|---|
| Speciality | Counselor |
| Location | 379 New Market Blvd, Boone, North Carolina |
| Authorized Official Name and Position | Tyler A Deal (OWNER/PROVIDER) |
| Authorized Official Contact | 8287731365 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blue Ridge Expressive Arts, Inc. 299 Tambras Way Vilas NC 28692-6011 Ph: (828) 773-1365 | Blue Ridge Expressive Arts, Inc. 379 New Market Blvd Boone NC 28607-3765 Ph: (828) 767-9942 |
| NPI Number | 1073400560 |
|---|---|
| Provider Enumeration Date | 06/18/2025 |
| Last Update Date | 06/18/2025 |
| Certification Date | 06/18/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073400560 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
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