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CAROLINA THERAPEUTIC SERVICES COMMUNITY DEVELOPMENT INC NPI 1649050345


NPI Information

NPI: 1649050345
Provider Name: CAROLINA THERAPEUTIC SERVICES COMMUNITY DEVELOPMENT INC
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

Address:
1781 TATE BLVD SE STE 202
HICKORY, NC
ZIP 28602
Phone: (828) 758-1320
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CAROLINA THERAPEUTIC SERVICES COMMUNITY DEVELOPMENT INC is a family nurse practitioner in Hickory, NC. CAROLINA THERAPEUTIC SERVICES COMMUNITY DEVELOPMENT INC NPI is 1649050345. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1781 TATE BLVD SE STE 202
HICKORY, NC
ZIP 28602-252
Phone: (828) 758-1320
Fax: (828) 758-1332

The provider's authorized official is Holly Shivadecker .
The authorized official title is Cfo and has the following contact phone number (704) 864-1477.

The enumeration date for this NPI number is 10/2/2023 and was last updated on 10/2/2023.


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
1101YM0800XCounselorMental HealthNo
2363LP0808XNurse PractitionerPsychiatric/Mental HealthNo
3363LF0000XNurse PractitionerFamilyYes

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: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.