Therapeutic Community Concept LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

THERAPEUTIC COMMUNITY CONCEPT LLC

Practice address

610 E 7TH St
Charlotte, NC 28202-2923

Phone

(704) 493-0466

NPI assigned

Oct 4, 2011

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Letishal Juanita Kelly

Title

Owner

Phone

(704) 493-0466

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1317686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317859200000",
    "number": "1194009571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "619 N DAVIDSON ST APT 304",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282021572",
            "telephone_number": "704-493-0466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 E 7TH ST",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282022923",
            "telephone_number": "704-493-0466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERAPEUTIC COMMUNITY CONCEPT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-04",
        "last_updated": "2011-10-06",
        "status": "A",
        "authorized_official_last_name": "KELLY",
        "authorized_official_first_name": "LETISHAL",
        "authorized_official_middle_name": "JUANITA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-493-0466",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sophia Helena Theodos, MD, MPH
• Elisabeth Neely Theodossiou, OTR/L
• Ashley Theogene, COTA
• Theracare Health & Wellness
• Theracare Health and Wellness, LLC
• Therapeutic Community Connections, PLLC
• Therapeutic Embrace Occupational Therapy Services
• Therapeutic Encouraging Academic Motivational Support Services LLC
• Therapeutic Family and Community Services
• Therapeutic Intervention Group, LLC

• Community/Behavioral Health Agency in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Community/Behavioral Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.