| Nc Brook Haven Behavioral | |
|
2 Walden Ridge Drive Suite #30 Asheville NC 28803-3306 | |
| (828) 676-1657 | |
| (828) 651-9083 |
| Full Name | Nc Brook Haven Behavioral |
|---|---|
| Speciality | Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Location | 2 Walden Ridge Drive, Asheville, North Carolina |
| Authorized Official Name and Position | Jacqueline Baker (OWNER) |
| Authorized Official Contact | 8286761657 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nc Brook Haven Behavioral 1854 Hendersonville Rd Unit 114 Asheville NC 28803-2494 Ph: (828) 651-0333 | Nc Brook Haven Behavioral 2 Walden Ridge Drive Suite #30 Asheville NC 28803-3306 Ph: (828) 676-1657 |
| NPI Number | 1053623140 |
|---|---|
| Provider Enumeration Date | 07/06/2010 |
| Last Update Date | 10/31/2012 |
| Medicare PECOS PAC ID | 2567694979 |
|---|---|
| Medicare Enrollment ID | O20140418000105 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053623140 | NPI | - | NPPES |
| 3418503 | Medicaid | NC | |
| 8303121 | Medicaid | NC |
| Provider Name | Charmaine Pamela A Lowe Hoyte |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1235181447 PECOS PAC ID: 1355335886 Enrollment ID: I20040408001110 |
| Provider Name | Jonathan Arnold Edwards |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043284458 PECOS PAC ID: 2860577194 Enrollment ID: I20080311000579 |
| Provider Name | Anne Harriette Bugel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164544607 PECOS PAC ID: 3577688894 Enrollment ID: I20100909001145 |
| Provider Name | Michelle M Davidson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629409982 PECOS PAC ID: 2365714409 Enrollment ID: I20170823004114 |
| Provider Name | Meghan L Summey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891146445 PECOS PAC ID: 8123378239 Enrollment ID: I20180911003946 |
| Provider Name | Jacob Garrett Hamm |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821542572 PECOS PAC ID: 5890036396 Enrollment ID: I20190410002138 |
| Provider Name | Laura M Wolfe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285929133 PECOS PAC ID: 8426352121 Enrollment ID: I20200430000202 |
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