# THE KIDS WORKSHOP INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** The Kid's Workshop Inc, Kids Workshop Inc
- **Organization subpart:** No

## Provider details

- **NPI number:** 1558420018
- **Authorized official:** PAULETTE GREEN CANADAY (DIRECTOR)
- **Authorized official phone:** (704) 449-2099

## Contact information

- **Practice address:** THE KIDS WORKSHOP INC, 5901 BEATTIES FORD ROAD, CHARLOTTE, NC 28216
- **Practice address phone:** (704) 399-4045
- **Practice address fax:** (704) 399-4089
- **Mailing address:** 5901 BEATTIES FORD ROAD, CHARLOTTE, NC 28216
- **Mailing address phone:** (704) 399-4045
- **Mailing address fax:** (704) 399-4089

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 224Z00000X | Occupational Therapy Assistant | — | NULL | — |
| 224Z00000X | Occupational Therapy Assistant | — | — | — |
| 225X00000X | Occupational Therapist | — | NULL | — |
| 225X00000X | Occupational Therapist | — | — | — |
| 225XM0800X | Mental Health Occupational Therapist | — | NULL | — |
| 225XM0800X | Mental Health Occupational Therapist | — | — | — |
| 251S00000X | Community/Behavioral Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 12/08/2006
- **Last updated:** 07/10/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 3409380 | — | NC |