Healthcare Provider Details

I. General information

NPI: 1144139122
Provider Name (Legal Business Name): 3TS RECOVERY SUPPORT SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/04/2026
Last Update Date: 09/04/2026
Certification Date: 09/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8201 ARROWRIDGE BLVD
CHARLOTTE NC
28273-5865
US

IV. Provider business mailing address

2106 CHICKASAW LOOP
ROCK HILL SC
29732-9808
US

V. Phone/Fax

Practice location:
  • Phone: 704-302-4393
  • Fax: 803-745-8518
Mailing address:
  • Phone: 704-302-4393
  • Fax: 803-745-8518

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: TAVARON TERRELL RAYMON
Title or Position: MANAGING MEMBER
Credential: NCCPSS
Phone: 704-302-4393