Healthcare Provider Details

I. General information

NPI: 1851615199
Provider Name (Legal Business Name): IN TOUCH THERAPEUTIC SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/15/2010
Last Update Date: 10/07/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

610 E 7TH ST STE 111
CHARLOTTE NC
28202-2923
US

IV. Provider business mailing address

610 E 7TH ST STE 111
CHARLOTTE NC
28202-2923
US

V. Phone/Fax

Practice location:
  • Phone: 615-500-4682
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number StateNC

VIII. Authorized Official

Name: RYCE HATCHETT
Title or Position: DIRECTOR
Credential:
Phone: 615-500-4682