Organization
CAROLINA THERAPEUTIC SERVICES, INC
Active
Other names
Chicago Therapeutic Services
Organization subpart
No
Provider details
NPI number
Authorized official
CLARENCE SUTTON (CEO)
(704) 864-1477
Entity
Organization
Contact information
Practice address
4521 W DIVERSEY AVE, CHICAGO, IL 60639-1925
(773) 360-1389
Mailing address
1528 UNION RD, GASTONIA, NC 28054-2200
(704) 864-1477
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
—
—
2084P0800X
Psychiatry Physician
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
11/28/2023
Last updated
10/15/2024
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