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About Our Providers

Paul Trombley, MD, FAAP


Dr. Trombley is a native of Detroit, Michigan. After moving to Memphis Tennessee, he attended Christian Brothers University in Memphis and graduated Summa Cum Laude and valedictorian of the School of Science with a Bachelor's Degree in Biology with minors in Chemistry and History. He attended medical school at University of Tennessee Center for the Health Sciences in Memphis, TN on academic scholarship. 


Earning his Medical Doctorate in 1996, he initially entered psychiatric residency training at the University of Michigan in Ann Arbor, Michigan. Dr. Trombley next attended the University of South Alabama in Mobile, Alabama, where he completed pediatric residency training, in 2002. While there, he was specially recognized with the 2002 Best Resident Grand Rounds Award for original research.


Dr. Trombley is Board Certified by the American Board of Pediatrics and has practiced primary care pediatrics as well as pediatric emergency medicine for years before returning to complete fellowship in Child and Adolescent Psychiatry at the prestigious University Hospitals/Case Western Reserve University in Cleveland, Ohio, completing training in 2011. While there, he also served as clinical faculty at nationally-recognized Rainbow Babies and Children's Hospital as a faculty clinical instructor in Pediatrics in the Department of Emergency Medicine. 


Dr. Trombley is also Board Certified by the American Board of Psychiatry and Neurology for both Psychiatry and in Child and Adolescent Psychiatry. He is one of the few nationally recognized, triple Board Certified Child and Adolescent Psychiatrists, and the only one in Western North Carolina. 


Dr. Trombley is an honored Fellow of the American Academy of Pediatrics since 2005 and is a member of the American Academy of Child and Adolescent Psychiatry


Angie K. Trombley, DNP, APRN, MSN, RN, PMHNP/BC

Angie is a native of Bury St. Edmunds, Suffolk, England. She began nursing studies at Addenbrooke's Hospital in Cambridge, England, where she cared for the intellectually disabled and chronically mentally ill. Emigrating to the United States, she continued her studies and graduated Summa Cum Laude from Excelsior College in New York State where she earned her RN. 


She went on to graduate Magna Cum Laude from Excelsior College earning a Bachelors of Science in Nursing in 2008. She then earned a Masters of Science in Nursing from University of Missouri in 2011. She became Board Certified as an Adult Psychiatric Nurse Practitioner in 2011. 


From there, Angie went on to complete graduate nursing studies at University of Missouri, attaining a Doctorate of Nursing Practice with a 4.0 GPA in 2013. She has subsequently Board Certified by the American Nursing Credentialing Center as a Family Psychiatric Nurse Practitioner, allowing her to see and treat the entire lifespan from children to the elderly.


From 2013-2017, she had served as adjunct professor at the University of South Alabama in Family Psychiatric Nurse Practitioner Program, where she educated NPs in family psychiatry. She proudly served as a clinical assistant professor for the PMHNP program at East Carolina University from 2018-2020. Angie is now an assistant professor and Director of the Post Masters Doctor of Nursing Program at Western Carolina University. 

Angie serves as the Vice Chair of the North Carolina Nurses' Association Council. 


Angie has also proudly served in the United States Air Force as a Reserve Officer, attaining the rank of Captain as a commissioned officer in our military. While in service to our country, she served as a mental health program coordinator, attaining many accolades while in service at Keesler AFB in Biloxi, MS. 


Angie is a member of the American Psychiatric Nurses Association


Renee Goulding APRN, PMHNP/BC

Renee is native of the Chicagoland area of Indiana. She is board certified as a Psychiatric Mental Health Nurse Practitioner from the American Nursing Credentialing Center. Renee earned a Bachelor of Science in Nursing (BSN) from Valparaiso University and went on to complete a Master of Science in Nursing (MSN) with a focus on Psychiatric Mental Health at the University of Southern Indiana. Committed to continuous learning, Renee incorporates evidence-based practices into her approach to care. Renee combines cognitive-behavioral therapy, supportive therapy, and patient-centered practices, specializing in treating psychiatric patients across the lifespan.

Renee brings a wealth of experience with a background of 12 years as a Registered Nurse and she is committed to delivering high-quality care to the community of Asheville. Renee is a member of the Sigma Theta Tau International Honor Society, the North Carolina Nursing Association, the American Association of Nurse Practitioners, and the American Psychiatric Nurses Association. Beyond work, Rene enjoys biking, painting, and hiking. 

Mary Keller APRN, PMHNP/BC

Mary was born in Jackson County, Georgia and lived in several locations across Northeast Georgia, Alabama, and Texas during her childhood. After earning her nursing degree at Western Carolina University, Mary completed her psychiatric nurse practitioner training at Vanderbilt University.  Mary has received extra training in nursing leadership, rural health, eating disorders, and trauma response. Mary strives to combine intellectual rigor, creativity, empathy, and honesty in a collaborative relationship with clients.


Mary is a member of the American Nurses Association, the American Psychiatric Nurses Association, the American Academy of Nurse Practitioners, Sigma Theta Tau, and has served on advisory councils for the North Carolina Institute of Medicine.  In her free time, she likes to read, work in the garden, knit, sew apparel, listen to music, and spend time with her husband and two teenage children. She loves to travel whenever she can. 

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