| Carolina Therapeutic Services First | |
|
1801 N Tryon St 309 B Charlotte NC 28206-6850 | |
| (704) 957-0847 | |
| (704) 392-5011 |
| Full Name | Carolina Therapeutic Services First |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 1801 N Tryon St 309 B, Charlotte, North Carolina |
| Authorized Official Name and Position | Teresa Swan-hutchision (PRESIDENT) |
| Authorized Official Contact | 7049570847 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Carolina Therapeutic Services First 8401 Medical Plaza Dr Ste 350 Charlotte NC 28262-8700 Ph: (704) 957-0847 | Carolina Therapeutic Services First 1801 N Tryon St 309 B Charlotte NC 28206-6850 Ph: (704) 957-0847 |
| NPI Number | 1437387099 |
|---|---|
| Provider Enumeration Date | 06/23/2009 |
| Last Update Date | 04/11/2022 |
| Certification Date | 04/11/2022 |
| Medicare PECOS PAC ID | 3375884554 |
|---|---|
| Medicare Enrollment ID | O20190417000254 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437387099 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Delores Estelle Burrill |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750532461 PECOS PAC ID: 6204127087 Enrollment ID: I20160627000259 |
| Provider Name | Alicia Richardson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760704274 PECOS PAC ID: 5799026498 Enrollment ID: I20190405002180 |
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