NPIMap

Organization Active NPI

Family Treatment and Therapuetic Services

  • Case Management Agency
  • Charlotte, NC
National Provider Identifier
1396196358
Registry record updated Jun 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
License
252Y00000X Issued in NC
Legal business name
FAMILY TREATMENT AND THERAPUETIC SERVICES
Practice address
10514 Old Bridge LN
Charlotte, NC 28269-8157
Phone
(304) 960-9348
NPI assigned
Jun 30, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2016

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

Authorized official

Name
Wanda Jean Lee, BA, ED
Title
Owner/Director
Phone
(304) 960-9348

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X 252Y00000X NC Primary
Early Intervention Provider Agency 252Y00000X 251B00000X NC

Addresses

Primary practice location

10514 Old Bridge LN
Charlotte, NC 28269-8157

Mailing address

10514 Old Bridge LN
Charlotte, NC 28269-8157
Phone (304) 960-9348

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1467244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467244800000",
    "number": "1396196358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10514 OLD BRIDGE LN",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282698157",
            "telephone_number": "304-960-9348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10514 OLD BRIDGE LN",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282698157",
            "telephone_number": "304-960-9348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY TREATMENT AND THERAPUETIC SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-30",
        "last_updated": "2016-06-30",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "WANDA",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "304-960-9348",
        "authorized_official_credential": "BA, ED"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NC",
            "license": "252Y00000X",
            "primary": true
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NC",
            "license": "251B00000X",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2016; 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.