Organization
STRUCTURE THERAPEUTIC SERVICES
Active
Other names
Structure Therapeutic Services
Organization subpart
No
Provider details
NPI number
Authorized official
DERRICK LINDSAY (CHIEF EXECUTIVE OFFICER)
(704) 891-0053
Entity
Organization
Contact information
Practice address
4723 MORTONHALL RD, CHARLOTTE, NC 28215-7806
(704) 891-0053
Mailing address
4723 MORTONHALL RD, CHARLOTTE, NC 28215-7806
(704) 891-0053
(704) 891-0053
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
—
—
320700000X
Physical Disabilities Residential Treatment Facility
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
Other
Enumeration date
08/13/2025
Last updated
08/13/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us