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NPI Code Detail

MEDICARE: TSA INTEGRITY GROUP LLC

MEDICARE: TSA INTEGRITY GROUP LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QR0800XRecovery Care Clinic/Center
2251S00000XCommunity/Behavioral Health Agency

General Provider Information

NPI Number : 1891629267
Entity Type Code : Organization
Provider Name (Legal Business Name) : TSA INTEGRITY GROUP LLC
Provider Business Mailing Address
First Line : 104 ROY ST
Second Line :
City : GASTONIA
State : NC
Zip : 28052-1356
Country : US
Telephone Number : 704-678-4719
Fax Number :
Provider Business Practice Location Address
First Line : 1501 WEST BLVD STE A
Second Line :
City : CHARLOTTE
State : NC
Zip : 28208-7076
Country : US
Telephone Number : 704-678-4719
Fax Number :
Authorized Official
Title or Position : OWNER
Name : TEANTIE STOVER
Credential :
Telephone Number : 704-449-4716
Provider Enumeration Date : 06/10/2026
Last Update Date : 06/10/2026

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Directions to “TSA INTEGRITY GROUP LLC ” Practice Location

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