Organization
CAROLINA THERAPEUTIC SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CLARENCE SUTTON (CEO)
(704) 864-1477
Entity
Organization
Contact information
Practice address
2025 EBENEZER RD STE G, ROCK HILL, SC 29732-1069
(803) 619-6900
(803) 619-6913
Mailing address
1528 UNION RD, GASTONIA, NC 28054-2200
(704) 864-1477
(704) 396-7524
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
253J00000X
Foster Care Agency
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
196BHS
—
SC
05
—
CM1056
—
SC
Enumeration date
06/05/2019
Last updated
06/05/2019
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