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NPI Code Detail

MEDICARE: THERAPEUTIC SUPPORT SERVICES

MEDICARE: THERAPEUTIC SUPPORT SERVICES
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor
2251B00000XCase Management Agency
32084P0804XChild & Adolescent Psychiatry Physician
4363A00000XPhysician Assistant
5253J00000XFoster Care Agency
6363LP0808XPsychiatric/Mental Health Nurse Practitioner
7101YP2500XProfessional Counselor
8101YA0400XAddiction (Substance Use Disorder) Counselor
9106H00000XMarriage & Family Therapist
10103TC2200XClinical Child & Adolescent Psychologist
111041C0700XClinical Social Worker
12251S00000XCommunity/Behavioral Health Agency

General Provider Information

NPI Number : 1023184629
Entity Type Code : Organization
Provider Name (Legal Business Name) : THERAPEUTIC SUPPORT SERVICES
Provider Business Mailing Address
First Line : PO BOX 4003
Second Line :
City : GASTONIA
State : NC
Zip : 28054-0020
Country : US
Telephone Number : 704-865-3529
Fax Number : 704-865-3010
Provider Business Practice Location Address
First Line : 175 W FRANKLIN BLVD
Second Line :
City : GASTONIA
State : NC
Zip : 28052-4145
Country : US
Telephone Number : 704-865-3529
Fax Number : 704-865-3010
Authorized Official
Title or Position : DIRECTOR OF OPERATIONS
Name : JOSH MARTIN
Credential :
Telephone Number : 704-865-3529
Provider Enumeration Date : 11/27/2006
Last Update Date : 06/10/2015

Similar Medicare Providers

1134959505 — TALAHIA BAILEY LCSW-A
Practice Location Address:
175 W FRANKLIN BLVD
GASTONIA, NC
28052-4145
Practice Phone: 704-865-3525
Practice Fax:
1972599934 — DR. BENJAMIN DAWSEY JOHNSON PSY.D.
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1154366649 — SUPPORT INCORPORATED
Practice Location Address:
175 W FRANKLIN BLVD
GASTONIA, NC
28052-4145
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1134145428 — JENNIFER R. MAIETTA
Practice Location Address:
175 W FRANKLIN BLVD
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28052-4145
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Practice Fax:
1134132756 — KARLA MCNEAL LPC
Practice Location Address:
175 W FRANKLIN BLVD
GASTONIA, NC
28052-4145
Practice Phone: 704-865-3525
Practice Fax: 704-865-3520
1689894446 — JANELLE M. FLECK PC
Practice Location Address:
175 W FRANKLIN BLVD
GASTONIA, NC
28052-4145
Practice Phone: 704-865-3525
Practice Fax: 704-865-3520

Directions to “THERAPEUTIC SUPPORT SERVICES ” Practice Location

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