| October Road, Inc. | |
|
885 Crossroads Pkwy A2 Mars Hill NC 28754-9244 | |
| (828) 350-1000 | |
| (828) 689-3997 |
| Full Name | October Road, Inc. |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 885 Crossroads Pkwy, Mars Hill, North Carolina |
| Authorized Official Name and Position | Jason Hendricks (CEO) |
| Authorized Official Contact | 8149400407 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| October Road, Inc. 119 Tunnel Rd Ste D Asheville NC 28805-1800 Ph: (828) 350-1000 | October Road, Inc. 885 Crossroads Pkwy A2 Mars Hill NC 28754-9244 Ph: (828) 350-1000 |
| NPI Number | 1851574503 |
|---|---|
| Provider Enumeration Date | 12/17/2007 |
| Last Update Date | 04/10/2024 |
| Certification Date | 04/10/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851574503 | NPI | - | NPPES |
| 8302489P | Medicaid | NC | |
| 8392489Q | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
Wolf Creek Academy Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 41 Beauty Spot Cove Rd, Mars Hill, NC 28754 Phone: 828-680-9173 Fax: 828-689-5921 |