Provider Demographics
NPI:1174311260
Name:CLEARWAY AUTISM SERVICES
Entity type:Organization
Organization Name:CLEARWAY AUTISM SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:WALLACE
Authorized Official - Middle Name:DELANO
Authorized Official - Last Name:HOLSTON
Authorized Official - Suffix:II
Authorized Official - Credentials:
Authorized Official - Phone:828-215-7570
Mailing Address - Street 1:30 AUDUBON DR
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28804-1202
Mailing Address - Country:US
Mailing Address - Phone:828-215-7570
Mailing Address - Fax:
Practice Address - Street 1:30 AUDUBON DR
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28804-1202
Practice Address - Country:US
Practice Address - Phone:828-215-7570
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-28
Last Update Date:2025-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty