ST. MICHAEL'S THERAPEUTIC SERVICES, INC. #2
NPI 1073702429
Residential Treatment Facility, Emotionally Disturbed Children in Concord, NC

Q: What is St. Michael's Therapeutic Services, Inc. #2's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Emotionally Disturbed Children with taxonomy code 322D00000X.

Active since October 22, 2007

4477 FAWNBROOK AVE, CONCORD, NC 28027(704) 637-3375(704) 782-9383 Get Directions Write a Review

NPPES record last updated: October 22, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About St. Michael's Therapeutic Services, Inc. #2 NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ST. MICHAEL'S THERAPEUTIC SERVICES, INC. #2 (NPI 1073702429) is a healthcare organization registered as a residential treatment facility, emotionally disturbed children in Concord, North Carolina and active in the NPI registry since October 2007. The organization lists Tasheema Yvette Shore, Owner, as its authorized official.

NPPES Registry Identity

NPI1073702429

Entity TypeOrganization

Primary Taxonomy322D00000X

Legal Business NameST. MICHAEL'S THERAPEUTIC SERVICES, INC. #2

Location Address4477 FAWNBROOK AVEConcord, NC 28027-0412

Mailing Address4477 Fawnbrook AveConcord, NC 28027-0412 · (704) 637-3375 · Fax (704) 782-9383

Phone(704) 637-3375

Fax(704) 782-9383

Organization SubpartNo

Authorized OfficialTasheema Yvette ShoreOwner · (704) 701-2582

Enumeration DateOctober 22, 2007

✔ NPI 1073702429 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyResidential Treatment Facility, Emotionally Disturbed ChildrenResidential Treatment Facilities

Taxonomy Code322D00000X

License✔ Licensed in NC · MHL-080-163

Definition

A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.

4477 FAWNBROOK AVE, Concord, NC 28027

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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. PIER BRYANT LCSW

Social Worker (Clinical)

4477 FAWNBROOK AVE
CONCORD, NC 28027

Cabarrus County (704) 287-3707

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is St. Michael's Therapeutic Services, Inc. #2's NPI number?

The NPI number for St. Michael's Therapeutic Services, Inc. #2 is 1073702429. It was assigned to this organization in the NPPES registry on October 22, 2007.

Where is St. Michael's Therapeutic Services, Inc. #2 located?

St. Michael's Therapeutic Services, Inc. #2 is located at 4477 Fawnbrook Ave, Concord, NC 28027. The listed phone number is (704) 637-3375.

What is St. Michael's Therapeutic Services, Inc. #2's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Emotionally Disturbed Children with taxonomy code 322D00000X.

When was this NPI record last updated?

The NPPES record for St. Michael's Therapeutic Services, Inc. #2 was last updated on October 22, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.