MTS Therapeutic Residential Services, LLC

Primary specialty

Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X

Legal business name

MTS THERAPEUTIC RESIDENTIAL SERVICES, LLC

Practice address

303 S Shore Dr
Jacksonville, NC 28540-5647

Phone

(910) 938-0670

Fax

(910) 938-1229

NPI assigned

Mar 24, 2009

Organization subpart

No

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

Authorized official

Name

Chasity Nicole Hudson-Odoi, RN

Title

Owner

Phone

(910) 938-0670

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1237852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237852800000",
    "number": "1265674113",
    "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 RESIDENTIAL SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-24",
        "last_updated": "2009-03-24",
        "status": "A",
        "authorized_official_last_name": "HUDSON-ODOI",
        "authorized_official_first_name": "CHASITY",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "910-938-0670",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mount Carmel Helps Home Care LLC
• Benjamin Arthur Mowell
• Allison Mowles
• Benjamin C Mozie, MD
• Almena Lowe Mozon, PH.D.
• MTS Therapeutic Services, LLC
• MTS Therapeutic Services, LLC
• Alexandra Louise Mueller
• Alexa Brooke Mullally, PA-C
• Rylie Patricia Mullin, PA-C

• Emotionally Disturbed Childrens' Residential Treatment Facility in Jacksonville, NC
• Providers in Jacksonville, NC by specialty
• Emotionally Disturbed Childrens' Residential Treatment Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 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.