Organization
CAROLINA THERAPEUTIC SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CLARENCE EDWARD SUTTON (EXECUTIVE DIRECTOR)
(704) 884-5552
Entity
Organization
Contact information
Practice address
1528 UNION RD, GASTONIA, NC 28054
(704) 864-1477
(704) 864-1476
Mailing address
1528 UNION RD, GASTONIA, NC 28054-2200
(704) 864-1477
(704) 864-1476
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103T00000X
Psychologist
3970
NC
103T00000X
Psychologist
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
253J00000X
Foster Care Agency
DSS-5146A
NC
253J00000X
Foster Care Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
06/06/2008
Last updated
02/01/2021
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