Client Directed Services, LLC

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

Legal business name

CLIENT DIRECTED SERVICES, LLC

Practice address

4410 Laurel Twig CT
Charlotte, NC 28215-9002

Phone

(704) 545-0407

Fax

(704) 545-9395

NPI assigned

Aug 15, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Paul Timothy Peters, QP

Title

Executive Director

Phone

(704) 545-0407

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1187136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187136000000",
    "number": "1497947188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 691778",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282277030",
            "telephone_number": "704-545-0407",
            "fax_number": "704-545-9395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4410 LAUREL TWIG CT",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282159002",
            "telephone_number": "704-545-0407",
            "fax_number": "704-545-9395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLIENT DIRECTED SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-15",
        "last_updated": "2007-08-15",
        "status": "A",
        "authorized_official_last_name": "PETERS",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "TIMOTHY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "704-545-0407",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "QP"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey A. Cleveland, MD
• Victoria Szilage Cleveland, PA
• Lisa Nicole Clevenger, NP
• Robert Brent Clevenger III
• James Kevin Clevinger, C.O.
• Cliff C Smith DDS PA
• Crystal Noelle Cliff, DACM
• Alicia Durante Clifford, LPTA
• Kelly Marie Clifford, M.D.
• Gloria Clifton

• All providers in Charlotte, NC
• Developmentally Disabled Services Day Training Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2007; 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.