Therapeutic Center for Change

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

THERAPEUTIC CENTER FOR CHANGE

Practice address

1566 Union Rd
Gastonia, NC 28054-5301

Phone

(704) 755-5213

NPI assigned

Jun 21, 2020

Last updated

Jun 21, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Gillian Squillacioti, LCMHCNPI 1982002614

Title

Psychotherapist

Phone

(704) 755-5213

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Gillian Aloisia Squillacioti

  • Mental Health Counselor
  • Shelby, NC
  • NPI 1982002614
  NPD Authorized official

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

{
    "created_epoch": "1592697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592697600000",
    "number": "1598381030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5132 NEWPORT LANDING WAY",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280568521",
            "telephone_number": "631-974-9403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1566 UNION RD",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280545301",
            "telephone_number": "704-755-5213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERAPEUTIC CENTER FOR CHANGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-21",
        "last_updated": "2020-06-21",
        "certification_date": "2020-06-21",
        "status": "A",
        "authorized_official_last_name": "SQUILLACIOTI",
        "authorized_official_first_name": "GILLIAN",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "704-755-5213",
        "authorized_official_credential": "LCMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• The Hub Wellness Center,PLLC (The Hub Wellness Center)
• The Right Direction LLC
• The Simple Life Services, Inc
• The Simple Life Services, Inc.
• The Wow Workshop, Inc
• Therapeutic Support Services
• Therapsych Behavioral Health & Wellness, PLLC
• Colleen Lyn Thibaut, D.O.
• Steven David Thies, M.D.
• Alea Marie Thomas

• Mental Health Counselor in Gastonia, NC
• Providers in Gastonia, NC by specialty
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2020; 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.