MTS Therapeutic Services, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

MTS THERAPEUTIC SERVICES, LLC

Practice address

303 S Shore Dr
Jacksonville, NC 28540-5647

Phone

(910) 938-0670

Fax

(910) 938-1229

NPI assigned

Feb 11, 2009

Organization subpart

No

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

Authorized official

Name

Mr. Thomas Trevour Shepard, BA, QP

Title

Owner/Operator

Phone

(910) 376-2276

Specialties & licenses 3

Addresses

Tax ID family

MTS Therapeutic Services LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• MTS Therapeutic Services, LLC

  • Community/Behavioral Health Agency
  • Jacksonville, NC
  • NPI 1184896029
  NPD tax ID

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

{
    "created_epoch": "1234310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234310400000",
    "number": "1235378522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 S SHORE DR",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285405647",
            "telephone_number": "910-938-0670",
            "fax_number": "910-938-1229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 S SHORE DR",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285405647",
            "telephone_number": "910-938-0670",
            "fax_number": "910-938-1229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MTS THERAPEUTIC SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-11",
        "last_updated": "2009-02-11",
        "status": "A",
        "authorized_official_last_name": "SHEPARD",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "TREVOUR",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "910-376-2276",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "BA, QP"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allison Mowles
• Benjamin C Mozie, MD
• Almena Lowe Mozon, PH.D.
• MTS Therapeutic Residential Services, LLC
• MTS Therapeutic Services, LLC
• Alexandra Louise Mueller
• Alexa Brooke Mullally, PA-C
• Rylie Patricia Mullin, PA-C
• Christopher Eugene Mullins
• Felix Ramon Muniz, M.D.

• Community/Behavioral Health Agency in Jacksonville, NC
• Providers in Jacksonville, 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 Feb 11, 2009; 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.