Organization Active NPI

Queens Enrichment and Therapeutic Organization

  • Community/Behavioral Health Agency
  • Charlotte, NC
National Provider Identifier
1780401083
Registry record updated Sep 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
QUEENS ENRICHMENT AND THERAPEUTIC ORGANIZATION
Practice address
3917 Farlow Rd
Charlotte, NC 28269-0196
Phone
(704) 963-6165
NPI assigned
Sep 26, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2024

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

Authorized official

Name
Ms. Pamela Christine Bowers, SOCIAL WORKER-LCSW-ANPI 1205345295
Title
Therapist
Phone
(704) 963-6165

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

3917 Farlow Rd
Charlotte, NC 28269-0196

Mailing address

3917 Farlow Rd
Charlotte, NC 28269-0196
Phone (704) 963-6165

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": "1727308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727308800000",
    "number": "1780401083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3917 FARLOW RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282690196",
            "telephone_number": "704-963-6165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3917 FARLOW RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282690196",
            "telephone_number": "704-963-6165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUEENS ENRICHMENT AND THERAPEUTIC ORGANIZATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-26",
        "last_updated": "2024-09-26",
        "certification_date": "2024-09-26",
        "status": "A",
        "authorized_official_last_name": "BOWERS",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "CHRISTINE",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "704-963-6165",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "SOCIAL WORKER-LCSW-A"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "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 Sep 26, 2024; 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.