Healthcare Provider Details
I. General information
NPI: 1265611271
Provider Name (Legal Business Name): CAROLINA PARENTING SOLUTIONS, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/25/2007
Last Update Date: 08/16/2019
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3635 MANOR HOUSE DR.
CHARLOTTE NC
28270-2291
US
IV. Provider business mailing address
3635 MANOR HOUSE DR.
CHARLOTTE NC
28270-2291
US
V. Phone/Fax
- Phone: 704-718-8657
- Fax: 877-735-8447
- Phone: 704-718-8657
- Fax: 877-735-8447
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 1041C0700X |
| Taxonomy | Clinical Social Worker |
| License Number | C002266 |
| License Number State | NC |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 251S00000X |
| Taxonomy | Community/Behavioral Health Agency |
| License Number | NC #C002266 |
| License Number State | NC |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 252Y00000X |
| Taxonomy | Early Intervention Provider Agency |
| License Number | NC # C002266 |
| License Number State | NC |
VIII. Authorized Official
Name:
ASHLEY
MARIE
SCHLIEPER
Title or Position: CEO
Credential: MSW, LCSW
Phone: 704-718-8657