Conversion Therapeutic Services Inc

LBN: Conversion Therapeutic Services Inc
Conversion Therapeutic Services Inc is an health care organization with primary practice located at 2310 Bethany Brook Ln Apt 302 , Charlotte NC 28273-4865. The organization recently has 4 registered licenses in different health care specialties including Agencies / Day Training, Developmentally Disabled Services, Ambulatory Health Care Facilities / Developmental Disabilities, Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, Respite Care Facility / Respite Care, Mental Retardation and/or Developmental Disabilities. Ambulatory Health Care Facilities / Developmental Disabilities is the primary health care specialty. Conversion Therapeutic Services Inc can be contacted via phone (443) 531-1988, or through Washington, Tenicia via phone (443) 531-1988.

Contact Information

Primary practice address
2310 Bethany Brook Ln Apt 302 Charlotte NC 28273-4865
Phone: (443) 531-1988
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Washington, Tenicia PMHNP, FNP, CRNP
Phone: (443) 531-1988

Health care specialties

SpecialtyCodeLicense #State
Agencies / Day Training, Developmentally Disabled Services 251C00000X
Ambulatory Health Care Facilities / Developmental Disabilities 261QD1600X
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320900000X
Respite Care Facility / Respite Care, Mental Retardation and/or Developmental Disabilities 385HR2060X

Profile Details

NPI number 1295598704
LBN Legal business name Conversion Therapeutic Services Inc
DBA Doing business as
Authorized official Washington, Tenicia PMHNP, FNP, CRNP
Entity Organization
Organization subpart 1 No
Enumeration date Feb 6th, 2024
Last updated Feb 27th, 2024 - about 7 months ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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