INTEGRATIVE THERAPEUTIC COUNSELING SERVICES NPI 1366911919

NPI Information

  • NPI: 1366911919
  • Provider Name: INTEGRATIVE THERAPEUTIC COUNSELING SERVICES
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Organization
  • Address: 1101 TYVOLA RD STE 218
    CHARLOTTE, NC
    ZIP 28217
  • Phone: (540) 320-2859

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NPI Details

INTEGRATIVE THERAPEUTIC COUNSELING SERVICES is a mental health counselor in Charlotte, NC. INTEGRATIVE THERAPEUTIC COUNSELING SERVICES NPI is 1366911919. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1101 TYVOLA RD STE 218
CHARLOTTE, NC
ZIP 28217-515
Phone: (540) 320-2859

The provider's authorized official is Sheena Ilean Hasty .
The authorized official title is Ceo and has the following contact phone number (540) 320-2859.

The enumeration date for this NPI number is 11/13/2018 and was last updated on 11/13/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YA0400XCounselorAddiction (Substance Use Disorder)No
2251S00000XCommunity/Behavioral HealthNo
3253Z00000XIn Home Supportive CareNo
4261QM0850XClinic/CenterAdult Mental HealthNo
5261QM0855XClinic/CenterAdolescent and Children Mental HealthNo
6101YM0800XCounselorMental HealthYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11992985972MEDICAIDNORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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