Kids Garden

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

KIDS GARDEN

Practice address

1949 N Sharon Amity Rd
Charlotte, NC 28205-7921

Phone

(704) 526-0793

NPI assigned

Jan 24, 2024

Organization subpart

No

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

Authorized official

Name

Lavetrice Raley

Title

Manager

Phone

(704) 941-4207

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1706054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706054400000",
    "number": "1790547925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1949 N SHARON AMITY RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282057921",
            "telephone_number": "704-941-4207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1949 N SHARON AMITY RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282057921",
            "telephone_number": "704-526-0793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDS GARDEN",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-24",
        "last_updated": "2024-01-24",
        "certification_date": "2024-01-22",
        "status": "A",
        "authorized_official_last_name": "RALEY",
        "authorized_official_first_name": "LAVETRICE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "704-941-4207"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Kidspeak Management, LLC
• Kidspeak Speech and Language Services, Inc.
• Kidzcare Pediatrics, PC
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• Mental Health Counselor in Charlotte, NC
• Providers in Charlotte, 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 Jan 24, 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.