| Family Preservation Services Of North Carolina, Llc | |
|
1316 Patton Ave Ste D Asheville NC 28806-2652 | |
| (828) 225-3100 | |
| (828) 225-3604 |
| Full Name | Family Preservation Services Of North Carolina, Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 1316 Patton Ave Ste D, Asheville, North Carolina |
| Authorized Official Name and Position | Miranda K Little (NC STATE QI & TRAINING DIRECTOR) |
| Authorized Official Contact | 7043440491 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Preservation Services Of North Carolina, Llc Po Box 759194 Baltimore MD 21275-9194 Ph: (828) 225-3100 | Family Preservation Services Of North Carolina, Llc 1316 Patton Ave Ste D Asheville NC 28806-2652 Ph: (828) 225-3100 |
| NPI Number | 1326127226 |
|---|---|
| Provider Enumeration Date | 11/03/2006 |
| Last Update Date | 07/10/2019 |
| Medicare PECOS PAC ID | 7214028539 |
|---|---|
| Medicare Enrollment ID | O20070801000148 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326127226 | NPI | - | NPPES |
| 8301588 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (North Carolina) | Secondary |
| 251S00000X | Community/behavioral Health | (North Carolina) | Primary |
| Provider Name | John J Stahlman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811006273 PECOS PAC ID: 9436133097 Enrollment ID: I20040614000638 |
| Provider Name | James E Lee |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1659402139 PECOS PAC ID: 5294860706 Enrollment ID: I20100322000785 |
| Provider Name | David R Sillars |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1093824104 PECOS PAC ID: 9335181452 Enrollment ID: I20130410000126 |
| Provider Name | Andrea Michelle Biffle |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770985319 PECOS PAC ID: 2860715620 Enrollment ID: I20141231000463 |
| Provider Name | Wendy C Krull |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689107039 PECOS PAC ID: 8224308432 Enrollment ID: I20170720002539 |
| Provider Name | Lara B Boehme |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447625868 PECOS PAC ID: 0547523144 Enrollment ID: I20180412002211 |
| Provider Name | Taylor M Walker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659824902 PECOS PAC ID: 1153665245 Enrollment ID: I20181129003291 |
| Provider Name | Brittany L Strawn |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1164780433 PECOS PAC ID: 8820221708 Enrollment ID: I20191011000002 |
| Provider Name | Stephen Eric Burgess |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356524193 PECOS PAC ID: 9234569344 Enrollment ID: I20200413002830 |
| Provider Name | Suzanne Gaye Redmon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902346505 PECOS PAC ID: 2163822925 Enrollment ID: I20210615003720 |
| Provider Name | Ashley Suzanne Blekicki |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497336747 PECOS PAC ID: 7012313273 Enrollment ID: I20210914000627 |
| Provider Name | Katherine Rose Zanowski |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629731971 PECOS PAC ID: 1951792456 Enrollment ID: I20211216001839 |
| Provider Name | Samantha Joan Nickel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093430712 PECOS PAC ID: 0648649905 Enrollment ID: I20221207003146 |
| Provider Name | Alexandra Noelle Caselman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952977704 PECOS PAC ID: 0143676460 Enrollment ID: I20231023003513 |
| Provider Name | Deidra Adaora Onuorah |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538795273 PECOS PAC ID: 2365898566 Enrollment ID: I20231024003412 |
| Provider Name | Martha M Petchenik |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1760962542 PECOS PAC ID: 9931542107 Enrollment ID: I20240206000026 |
| Provider Name | Jeremy Barrett Bricker |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1114112638 PECOS PAC ID: 2163865288 Enrollment ID: I20240206002125 |
| Provider Name | Eve Elizabeth Bridger |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1295380129 PECOS PAC ID: 8325481112 Enrollment ID: I20240208002694 |
| Provider Name | Christopher Carson Nolan |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1720472004 PECOS PAC ID: 1355784174 Enrollment ID: I20240208003437 |
| Provider Name | Nathaniel James Hundley |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1184194532 PECOS PAC ID: 0547605693 Enrollment ID: I20240228001767 |
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