Theraputic Remedy

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

C008104 Issued in NC

Legal business name

THERAPUTIC REMEDY

Practice address

5009 Beatties Ford Rd
701-371
Charlotte, NC 28216-2859

Phone

(678) 856-3471

NPI assigned

Nov 27, 2013

Organization subpart

No

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

Authorized official

Name

Derek Wilson

Title

Owner

Phone

(678) 856-3471

Specialties & licenses 1

Addresses

Tax ID family

Theraputic Remedy2 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.

• Theraputic Remedy

  • Mental Health Counselor
  • Charlotte, NC
  • NPI 1265861082
  NPD tax ID

Locations

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

{
    "created_epoch": "1385510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1385510400000",
    "number": "1487085528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5009 BEATTIES FORD RD",
            "address_2": "701-371",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282162859",
            "telephone_number": "678-856-3471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5009 BEATTIES FORD RD",
            "address_2": "701-371",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282162859",
            "telephone_number": "678-856-3471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERAPUTIC REMEDY",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-27",
        "last_updated": "2013-11-27",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "DEREK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-856-3471"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "C008104",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Therapeutic Intervention Group, LLC
• Therapeutic Services Group
• Therapeutic Solutions, PLLC
• Therapist Jenna, PLLC
• Theraputic Remedy
• Therapy Gains
• Therapy Group of Charlotte LLC
• Therapy With KP, PLLC
• Therapyquest, PLLC
• Raymond Thertulien, M.D.

• Professional Counselor in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Professional Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2013; 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.