Healthcare Provider Details

I. General information

NPI: 1558051227
Provider Name (Legal Business Name): CAROLINA SCHOOL SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/08/2023
Last Update Date: 10/20/2025
Certification Date: 10/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

525 S WHITE ST
WAKE FOREST NC
27587-2920
US

IV. Provider business mailing address

525 S WHITE ST
WAKE FOREST NC
27587-2920
US

V. Phone/Fax

Practice location:
  • Phone: 339-206-0145
  • Fax: 919-882-8616
Mailing address:
  • Phone: 339-206-0145
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name: ASHLEY YORK
Title or Position: OWNER
Credential:
Phone: 339-206-0145