TEEN SCENE ACT 1
NPI 1386769818
Residential Treatment Facility, Emotionally Disturbed Children in Gastonia, NC

Q: What is Teen Scene Act 1's NPI number?

The NPI number for Teen Scene Act 1 is 1386769818. It was assigned to this organization in the NPPES registry on March 21, 2007.

Q: What is Teen Scene Act 1's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Teen Scene Act 1 was last updated on December 12, 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.

Active since March 21, 2007

118D HOLLYCREST LN, GASTONIA, NC 28056(704) 854-4840(704) 854-4208 Get Directions Write a Review

NPPES record last updated: December 12, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Teen Scene Act 1 NPPES

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

TEEN SCENE ACT 1 (NPI 1386769818) is a healthcare organization registered as a residential treatment facility, emotionally disturbed children in Gastonia, North Carolina and active in the NPI registry since March 2007. The organization lists Chanda Truesdell, Owner, as its authorized official.

NPPES Registry Identity

NPI1386769818

Entity TypeOrganization

Primary Taxonomy322D00000X

Legal Business NameTEEN SCENE ACT 1

Location Address118D HOLLYCREST LNGastonia, NC 28056-9008

Mailing Address708 S Chestnut StGastonia, NC 28054-4548 · (704) 854-4840 · Fax (704) 854-4208

Phone(704) 854-4840

Fax(704) 854-4208

Organization SubpartNo

Authorized OfficialChanda TruesdellOwner · (704) 854-4840

Enumeration DateMarch 21, 2007

Last NPPES UpdateDecember 12, 2007

✔ NPI 1386769818 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 · MHL036180

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.

118D HOLLYCREST LN, Gastonia, NC 28056

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Other Identifiers 1

Medicaid6604133NC

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 Teen Scene Act 1's NPI number?

The NPI number for Teen Scene Act 1 is 1386769818. It was assigned to this organization in the NPPES registry on March 21, 2007.

Where is Teen Scene Act 1 located?

Teen Scene Act 1 is located at 118D Hollycrest Ln, Gastonia, NC 28056. The listed phone number is (704) 854-4840.

What is Teen Scene Act 1'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 Teen Scene Act 1 was last updated on December 12, 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.