Healthcare Provider Details

I. General information

NPI: 1487312716
Provider Name (Legal Business Name): MEGATOUCH CONCEPTS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/03/2021
Last Update Date: 12/03/2021
Certification Date: 12/03/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1970 BROWNSTONE CT
GASTONIA NC
28054-1741
US

IV. Provider business mailing address

1970 BROWNSTONE CT
GASTONIA NC
28054-1741
US

V. Phone/Fax

Practice location:
  • Phone: 704-564-1539
  • Fax:
Mailing address:
  • Phone: 704-564-1539
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code320600000X
TaxonomyIntellectual and/or Developmental Disabilities Residential Treatment Facility
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code320700000X
TaxonomyPhysical Disabilities Residential Treatment Facility
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code322D00000X
TaxonomyEmotionally Disturbed Childrens' Residential Treatment Facility
License Number
License Number StateNULL
# 4
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number StateNULL

VIII. Authorized Official

Name: MS. EMMA TERESA HARLING LAWSON
Title or Position: OWNER
Credential:
Phone: 704-564-1539