Healthcare Provider Details

I. General information

NPI: 1568325454
Provider Name (Legal Business Name): THE S.T.U.D.I.O.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/08/2025
Last Update Date: 12/10/2025
Certification Date: 12/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

215 GAY ST
KANNAPOLIS NC
28081-4706
US

IV. Provider business mailing address

6150 MILLER RD
KANNAPOLIS NC
28081-8780
US

V. Phone/Fax

Practice location:
  • Phone: 704-699-8230
  • Fax:
Mailing address:
  • Phone: 704-699-8230
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TF0000X
TaxonomyFamily Psychologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code103TP2701X
TaxonomyGroup Psychotherapy Psychologist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code103TM1800X
TaxonomyIntellectual & Developmental Disabilities Psychologist
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: TECOLA PATTERSON
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 704-699-8230