Organization
CAROLINA CONCIERGE THERAPEUTICS, PLLC
Active
Other names
Carolina Therapeutics
Organization subpart
No
Provider details
NPI number
Authorized official
CARRIE JAYNE HINNANT M.A., CCC-SLP, CAS (AGENCY DIRECTOR, SLP)
(704) 654-8599
Entity
Organization
Contact information
Practice address
11201 LIVINGSTON MILL RD, CHARLOTTE, NC 28273-4720
(704) 654-8599
Mailing address
PO BOX 38118, CHARLOTTE, NC 28278-1001
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
F228
MEDICARE
—
Enumeration date
04/08/2015
Last updated
08/03/2020
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