MEDICARE: CHILDREN'S ADVOCACY NETWORK, 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
1	251S00000X	Community/Behavioral Health Agency
2	251C00000X	Developmentally Disabled Services Day Training Agency

General Provider Information

NPI Number	:	1952421307
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CHILDREN'S ADVOCACY NETWORK, LLC

Provider Business Mailing Address
First Line	:	3302 S NEW HOPE RD
Second Line	:	SUITE 200-B
City	:	GASTONIA
State	:	NC
Zip	:	28056-8317
Country	:	US
Telephone Number	:	704-824-3400
Fax Number	:	704-824-3453

Provider Business Practice Location Address
First Line	:	3302 S NEW HOPE RD
Second Line	:	SUITE 200-B
City	:	GASTONIA
State	:	NC
Zip	:	28056-8317
Country	:	US
Telephone Number	:	704-824-3400
Fax Number	:	704-824-3453

Authorized Official
Title or Position	:	OFFICE ADMINISTRATOR
Name	:	MS. VICKIE K MCDUFFIE
Credential	:
Telephone Number	:	704-824-3400

Provider Enumeration Date	:	03/30/2007
Last Update Date	:	09/11/2025

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