Organization · NPI-2

Carolina Therapeutic Services Community Development INC

Community/Behavioral Health · Gastonia, NC

NPI number1841840386

StatusActive

Last updated in NPPESJun 11, 2024

Details

NPI: 1841840386
Entity type: Organization (NPI-2)
Legal business name: Carolina Therapeutic Services Community Development INC
Organization subpart: No
Enumeration date: Sep 17, 2019
Certification date: Jun 11, 2024
Last updated: Jun 11, 2024

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
251S00000X	Community/Behavioral Health	–	–	Yes
101YM0800X	Counselor, Mental Health	–	–
2084P0800X	Psychiatry & Neurology, Psychiatry	–	–
253J00000X	Foster Care Agency	–	–
261QC1500X	Clinic/Center, Community Health	–	–
261QM0801X	Clinic/Center, Mental Health (Including Community Mental Health Center)	–	–
261QM0855X	Clinic/Center, Adolescent and Children Mental Health	–	–
261QM1300X	Clinic/Center, Multi-Specialty	–	–
261QP2300X	Clinic/Center, Primary Care	–	–
363A00000X	Physician Assistant	–	–
363L00000X	Nurse Practitioner	–	–
363LF0000X	Nurse Practitioner, Family	–	–
363LP0808X	Nurse Practitioner, Psych/Mental Health	–	–

Practice location

1568 Union Rd Ste E
Gastonia, NC 28054-2211

Phone 704-864-1477

Mailing address

1528 Union Rd
Gastonia, NC 28054-2200

Phone 704-864-1477 · Fax 704-396-7524

Other practice locations

1528 Union Rd
Gastonia, NC 28054-2200

Phone 704-864-1477 · Fax 704-396-7524

617 S Green St Ste 300
Morganton, NC 28655-3693

Phone 828-758-1320

1781 Tate Blvd Se Ste 202
Hickory, NC 28602-4252

Phone 828-758-1320

Authorized official

Clarence Sutton
Ceo
7048845552

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