THE CENTER FOR SPIRITUAL EMERGENCE & KATHAROS SANCTUARY
NPI 1093174088
Clinic/Center - Adult Mental Health in Asheville, NC
About The Center For Spiritual Emergence & Katharos Sanctuary NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
THE CENTER FOR SPIRITUAL EMERGENCE & KATHAROS SANCTUARY (NPI 1093174088) is a healthcare organization registered as an adult mental health in Asheville, North Carolina and active in the NPI registry since February 2016. The organization holds a CLIA Waiver certificate valid through April 27, 2028 and lists Grady Braxton Jefferys, Executive Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 34D2112395
Intentional Longevity, Inc Dba Center For Spiritual Emergence · Asheville, NCOther Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
ASHEVILLE, NC 28806
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Intentional Longevity, Inc.'s NPI number?
The NPI number for Intentional Longevity, Inc. is 1093174088. It was assigned to this organization in the NPPES registry on February 18, 2016. The provider is doing business as The Center For Spiritual Emergence & Katharos Sanctuary.
Where is Intentional Longevity, Inc. located?
Intentional Longevity, Inc. is located at 370 N Louisiana Ave Suite D3, Asheville, NC 28806. The listed phone number is (828) 272-1643.
What is Intentional Longevity, Inc.'s specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Adult Mental Health, with taxonomy code 261QM0850X.
Does Intentional Longevity, Inc. hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 34D2112395) is associated with this NPI, valid through April 27, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Intentional Longevity, Inc. was last updated on February 18, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# The Center For Spiritual Emergence & Katharos Sanctuary · NPI 1093174088
Adult Mental Health organization in Asheville, North Carolina. Organization record, active in the CMS NPPES registry since February 18, 2016.
## Identity
- **NPI:** 1093174088 (Entity type: Organization)
- **Enumerated:** February 18, 2016
- **Primary specialty:** Clinic/Center - Adult Mental Health · taxonomy 261QM0850X
- **Legal business name:** Intentional Longevity, Inc.
- **Organization subpart:** No
- **Authorized official:** Grady Jefferys, EXECUTIVE DIRECTOR
## Practice location
- **Address:** 370 N LOUISIANA AVE, SUITE D3, Asheville, NC 28806-3600
- **Phone:** (828) 272-1643
## Record status
- **NPPES last updated:** February 18, 2016
- **CLIA laboratory certificates:** 1 on file
---
Source: [NPI Profile](https://npiprofile.com/npi/1093174088) · Data from the CMS NPPES public registry.