St. Michael'S Therapeutic Services, Inc
Organization Active NPI Emotionally Disturbed Childrens' Residential Treatment Facility · Spencer, NC
NPI 1992833271 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1992833271
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X
- License
- MHL-080-120 (NC)
- Legal business name
- ST. MICHAEL'S THERAPEUTIC SERVICES, INC
- Practice address
- 708 S Rowan Ave
Spencer, NC 28159-2146 - Phone
- (704) 637-3375
- Fax
- (704) 637-3375
- NPI assigned
- Mar 1, 2007
- Organization subpart
- No
Authorized official
- Name
- Ms. Tasheema Yvette Shore, BS.QP
- Title
- Owner
- Phone
- (704) 701-2582
Corporate family (same tax ID) 1
National Provider Directory
- Tax ID family
- St Michael'S Therapeutic Services Inc
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emotionally Disturbed Childrens' Residential Treatment Facility | 322D00000X | MHL-080-120 | NC | Yes |
Addresses
Primary practice location
708 S Rowan Ave
Spencer, NC 28159-2146
Mailing address
708 S Rowan Ave
Spencer, NC 28159-2146
Phone (704) 637-3375
Other providers in Spencer, NC
- Rowan Diagnostic Clinic
- Samuel Dastrup DDS PLLC
- Holly Anne Smith
- Sonshine Community Outreach Services
- Diane Spicer
- Melinda Marie Steelman
- The Mental Health Association in North Carolina, Inc.
- Total Renal Care of North Carolina LLC
- Jo Ann Townsend
- TRC of Salisbury, Inc.
All providers in Spencer, NC · Emotionally Disturbed Childrens' Residential Treatment Facility in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.