Carolina Therapy Specialists, Pllc | |
5513 Monroe Rd Ste 202 Charlotte NC 28212-5503 | |
(704) 608-1269 | |
Not Available |
Full Name | Carolina Therapy Specialists, Pllc |
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Speciality | Social Worker |
Location | 5513 Monroe Rd Ste 202, Charlotte, North Carolina |
Authorized Official Name and Position | Kendra K Moree (OWNER/PROVIDER) |
Authorized Official Contact | 7045623095 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Carolina Therapy Specialists, Pllc 5513 Monroe Rd Ste 202 Charlotte NC 28212-5503 Ph: (704) 562-3095 | Carolina Therapy Specialists, Pllc 5513 Monroe Rd Ste 202 Charlotte NC 28212-5503 Ph: (704) 608-1269 |
NPI Number | 1245600816 |
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Provider Enumeration Date | 09/25/2015 |
Last Update Date | 07/26/2022 |
Certification Date | 07/26/2022 |
Medicare PECOS PAC ID | 7911208459 |
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Medicare Enrollment ID | O20151229000453 |
Identifier | Type | State | Issuer |
---|---|---|---|
1245600816 | NPI | - | NPPES |
1386975597 | Other | NC | INDIVIDUAL NPI |
Taxonomy | Type | License (State) | Status |
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1041C0700X | Social Worker - Clinical | C006851 (North Carolina) | Primary |
Provider Name | Kendra K Moree |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1386975597 PECOS PAC ID: 1052435344 Enrollment ID: I20100823000999 |
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