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CONVERSION THERAPEUTIC SERVICES INC
NPI 1295598704
Clinic/Center - Developmental Disabilities in Charlotte, NC

Active since February 06, 2024
11535 CARMEL COMMONS BLVD STE 102, CHARLOTTE, NC 28226(704) 910-1788 Get Directions Write a Review

NPPES record last updated: October 8, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 8, 2024, Feb 6, 2024 (2 updates tracked since 2024).

About Conversion Therapeutic Services Inc NPPES

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

CONVERSION THERAPEUTIC SERVICES INC (NPI 1295598704) is a healthcare organization registered as a developmental disabilities in Charlotte, North Carolina and active in the NPI registry since February 2024. The organization lists Tenicia Washington, Owner, as its authorized official.

NPPES Registry Identity

NPI1295598704
Entity TypeOrganization
Primary Taxonomy261QD1600X
Legal Business NameCONVERSION THERAPEUTIC SERVICES INC
Location Address11535 CARMEL COMMONS BLVD STE 102Charlotte, NC 28226-5314
Mailing Address848 Kathy Dianne DrIndian Land, SC 29707-6898
Phone(704) 910-1788
Organization SubpartNo
Authorized OfficialTenicia WashingtonOwner · (443) 531-1988
Enumeration DateFebruary 6, 2024
Last NPPES UpdateOctober 8, 20242 updates tracked since enumeration
NPPES CertifiedOctober 8, 2024
✔ NPI 1295598704 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyClinic/Center · Developmental DisabilitiesAmbulatory Health Care Facilities
Taxonomy Code261QD1600X
Definition
An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.).
Also ListedDay Training, Developmentally Disabled ServicesTaxonomy 251C00000X
Also ListedCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesTaxonomy 320900000X
Also ListedRespite Care · Respite Care, Intellectual and/or Developmental DisabilitiesTaxonomy 385HR2060X
11535 CARMEL COMMONS BLVD STE 102, Charlotte, NC 28226
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Other Providers at the Same Location NPPES 3

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

CONVERSION THERAPEUTIC SERVICES INC
Home Health
11535 CARMEL COMMONS BLVD STE 102
CHARLOTTE, NC 28226
Mecklenburg County (704) 910-1788
CONVERSION THERAPEUTIC SERVICES INC
Clinic/Center (Multi-Specialty)
11535 CARMEL COMMONS BLVD STE 102
CHARLOTTE, NC 28226
Mecklenburg County (704) 910-1788
RELI365 INC
Non-emergency Medical Transport (VAN)
11535 CARMEL COMMONS BLVD STE 102
CHARLOTTE, NC 28226
Mecklenburg County (704) 910-1788

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 Conversion Therapeutic Services Inc's NPI number?

The NPI number for Conversion Therapeutic Services Inc is 1295598704. It was assigned to this organization in the NPPES registry on February 6, 2024.

Where is Conversion Therapeutic Services Inc located?

Conversion Therapeutic Services Inc is located at 11535 Carmel Commons Blvd Ste 102, Charlotte, NC 28226. The listed phone number is (704) 910-1788.

What is Conversion Therapeutic Services Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Developmental Disabilities, with taxonomy code 261QD1600X.

When was this NPI record last updated?

The NPPES record for Conversion Therapeutic Services Inc was last updated on October 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.