Trailblaze Psychological Services

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

TRAILBLAZE PSYCHOLOGICAL SERVICES

Practice address

600 Beverly Hanks Ctr
Hendersonville, NC 28792-2305

Phone

(828) 693-3296

NPI assigned

Sep 11, 2023

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Elizabeth Williams, PH.D.NPI 1255618963

Title

Owner

Phone

(828) 693-3296

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Elizabeth Conway Williams, L.P.A.

  • Clinical Psychologist
  • Hendersonville, NC
  • NPI 1255618963
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1694390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732233600000",
    "number": "1376320721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 BEVERLY HANKS CTR",
            "city": "HENDERSONVILLE",
            "state": "NC",
            "postal_code": "287922305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 BEVERLY HANKS CTR",
            "city": "HENDERSONVILLE",
            "state": "NC",
            "postal_code": "287922305",
            "telephone_number": "828-693-3296"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "157 Medical Park Dr",
            "address_purpose": "LOCATION",
            "city": "Brevard",
            "state": "NC",
            "postal_code": "287124189",
            "country_code": "US",
            "telephone_number": "828-693-3296 x1112",
            "fax_number": "828-696-3530",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TRAILBLAZE PSYCHOLOGICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-11",
        "last_updated": "2024-11-22",
        "certification_date": "2024-11-22",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "828-693-3296",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Misia Torai, LMBT
• John E Torres, LCSW
• Total Renal Care of North Carolina LLC (Hendersonville Dialysis Center)
• Kerin Totherow, MCD, CCC-SLP
• Justin A Towle, M.D.
• Paul E Trani, MD
• Transformation
• Kala Brianna Trantham, OTR/L
• Stacey Leigh Trantham, M.S. CCC-SLP
• John Douglas Trask, M.D.

• Clinical Psychologist in Hendersonville, NC
• Providers in Hendersonville, NC by specialty
• Clinical Psychologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.