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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