Life Challenges Adolescent Training & Treatment Academy

Primary specialty

Children's Substance Abuse Rehabilitation FacilityTaxonomy code 3245S0500X

Legal business name

LIFE CHALLENGES ADOLESCENT TRAINING & TREATMENT ACADEMY

Practice address

1127 Bethlehem Rd
Kings Mountain, NC 28086-8280

Phone

(704) 739-2764

Fax

(704) 734-1107

NPI assigned

Apr 30, 2009

Organization subpart

No

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

Authorized official

Name

Ms. Octavia Devonne Shankle

Title

Executive Director

Phone

(704) 739-2764

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1241049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1241049600000",
    "number": "1841434172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1127 BETHLEHEM RD",
            "city": "KINGS MOUNTAIN",
            "state": "NC",
            "postal_code": "280868280",
            "telephone_number": "704-739-2764",
            "fax_number": "704-734-1107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1127 BETHLEHEM RD",
            "city": "KINGS MOUNTAIN",
            "state": "NC",
            "postal_code": "280868280",
            "telephone_number": "704-739-2764",
            "fax_number": "704-734-1107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE CHALLENGES ADOLESCENT TRAINING & TREATMENT ACADEMY",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-30",
        "last_updated": "2009-04-30",
        "status": "A",
        "authorized_official_last_name": "SHANKLE",
        "authorized_official_first_name": "OCTAVIA",
        "authorized_official_middle_name": "DEVONNE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "704-739-2764",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "3245S0500X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dang Neng Kue
• Jessica Leigh Kuivinen, PHARMD
• Mitchell Shane Lamerson, D.C.
• Charles Pitman Langley III, MD
• Cynthia Ledford, PHARMD
• Liliana Marshall DMD PLLC (Kings Mountain Dental)
• Laura Jane Lockhart, CRNA
• Mark David Lovelace, RPH
• Amy Lanell Lowery, NURSE PRACTITIONER
• Laura Luna, CCC-SLP

• Children's Substance Abuse Rehabilitation Facility in Kings Mountain, NC
• Providers in Kings Mountain, NC by specialty
• Children's Substance Abuse Rehabilitation Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2009; 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.