Organization
CAROLINA THERAPEUTIC SERVICES COMMUNITY DEVELOPMENT INC
Active
Organization
CAROLINA THERAPEUTIC SERVICES COMMUNITY DEVELOPMENT INC
Active
Other names
CTSCD
Organization subpart
No
Provider details
NPI number
Authorized official
HOLLY SHIVADECKER (CFO)
(704) 864-1477
Entity
Organization
Contact information
Practice address
1781 TATE BLVD SE STE 202, HICKORY, NC 28602-4252
(828) 758-1320
(828) 758-1332
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
—
—
363LF0000X
Family Nurse Practitioner
Primary
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
10/02/2023
Last updated
10/02/2023
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