| Carolina Therapeutic Services, Inc | |
|
1528 Union Rd Gastonia NC 28054 | |
| (704) 864-1477 | |
| (704) 864-1476 |
| Full Name | Carolina Therapeutic Services, Inc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 1528 Union Rd, Gastonia, North Carolina |
| Authorized Official Name and Position | Clarence Edward Sutton (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 7048845552 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Carolina Therapeutic Services, Inc 1528 Union Rd Gastonia NC 28054-2200 Ph: (704) 864-1477 | Carolina Therapeutic Services, Inc 1528 Union Rd Gastonia NC 28054 Ph: (704) 864-1477 |
| NPI Number | 1720247570 |
|---|---|
| Provider Enumeration Date | 06/06/2008 |
| Last Update Date | 02/01/2021 |
| Certification Date | 02/01/2021 |
| Medicare PECOS PAC ID | 1052658861 |
|---|---|
| Medicare Enrollment ID | O20190131001368 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720247570 | NPI | - | NPPES |
| Provider Name | Shan A Bassion |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841780616 PECOS PAC ID: 0446506083 Enrollment ID: I20180711003453 |
| Provider Name | Valencia Sue Von Dran |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1912174822 PECOS PAC ID: 8426408121 Enrollment ID: I20231221000135 |
| Provider Name | Kenneth Doyle |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1003411026 PECOS PAC ID: 9830549054 Enrollment ID: I20231229000724 |
| Provider Name | Kelly Renee Biter |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1952958233 PECOS PAC ID: 0840643904 Enrollment ID: I20240213001613 |
| Provider Name | Amy Kathleen Biegler |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1710460332 PECOS PAC ID: 8921451006 Enrollment ID: I20240216003367 |
| Provider Name | Ashley Schenk Miller |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1639412828 PECOS PAC ID: 4082059514 Enrollment ID: I20240223003164 |
| Provider Name | Jennifer Rose Farley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356829584 PECOS PAC ID: 8729423694 Enrollment ID: I20240301000503 |
| Provider Name | Rachelle Pinkney |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1437618303 PECOS PAC ID: 3971949694 Enrollment ID: I20240315001659 |
| Provider Name | Charles B Gross |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1023607207 PECOS PAC ID: 2062856362 Enrollment ID: I20240315003562 |
| Provider Name | Chancey D Stalnaker |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1841872140 PECOS PAC ID: 8527406032 Enrollment ID: I20240403001690 |
| Provider Name | Shane Nolan Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831882745 PECOS PAC ID: 0446691141 Enrollment ID: I20240513001961 |
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