Active NPI
Carolina Optimal Therapeutic Services
- Community/Behavioral Health Agency
- Charlotte, NC
National Provider Identifier
1548501158
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- C008125
- Legal business name
- CAROLINA OPTIMAL THERAPEUTIC SERVICES
- Practice address
- 1444 Southen Sugar Dr
Charlotte, NC 28262 - Phone
- (980) 216-6586
- NPI assigned
- Mar 6, 2013
- Last updated
- May 23, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Alonda Harris, LCSW
- Title
- Executive Director/Clinician
- Phone
- (704) 499-2243
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | C008125 | NC | Primary |
Addresses
Primary practice location
1444 Southen Sugar Dr
Charlotte, NC 28262
Mailing address
3325 Washburn Ave
Charlotte, NC 28205-7024
Phone (704) 499-2243
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1362528000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1369267200000",
"number": "1548501158",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3325 WASHBURN AVE",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282057024",
"telephone_number": "704-499-2243"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1444 SOUTHEN SUGAR DR",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "28262",
"telephone_number": "980-216-6586"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CAROLINA OPTIMAL THERAPEUTIC SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2013-03-06",
"last_updated": "2013-05-23",
"status": "A",
"authorized_official_last_name": "HARRIS",
"authorized_official_first_name": "ALONDA",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR/CLINICIAN",
"authorized_official_telephone_number": "704-499-2243",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "NC",
"license": "C008125",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Charlotte, NC
- Carolina Neurological Clinic, PA
- Carolina Neuropathy Centers, PLLC
- Carolina Neurosurgery & Spine Associates PA
- Carolina Neurosurgery & Spine Associates, PA
- Carolina Oncology Specialist PA
- Carolina Outpatient Detox, LLC
- Carolina Outreach
- Carolina Outreach, LLC
- Carolina Outreach, LLC
- Carolina Pain Associates, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 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.