CAROLINA OUTPATIENT DETOX, LLC
NPI 1710701149
Clinic/Center - Rehabilitation, Substance Use Disorder in Charlotte, NC
About Carolina Outpatient Detox, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CAROLINA OUTPATIENT DETOX, LLC (NPI 1710701149) is a healthcare organization registered as a rehabilitation, substance use disorder in Charlotte, North Carolina and active in the NPI registry since November 2024. The organization holds a CLIA Waiver certificate valid through May 26, 2027 and lists Shannon Erb, Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 34D2324493
Carolina Outpatient Detox, LLC · Charlotte, NCOther Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Carolina Outpatient Detox, LLC's NPI number?
The NPI number for Carolina Outpatient Detox, LLC is 1710701149. It was assigned to this organization in the NPPES registry on November 12, 2024.
Where is Carolina Outpatient Detox, LLC located?
Carolina Outpatient Detox, LLC is located at 1117 E Morehead St, Charlotte, NC 28204. The listed phone number is (859) 304-4047.
What is Carolina Outpatient Detox, LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, Substance Use Disorder, with taxonomy code 261QR0405X.
Does Carolina Outpatient Detox, LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 34D2324493) is associated with this NPI, valid through May 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Carolina Outpatient Detox, LLC was last updated on July 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Carolina Outpatient Detox, Llc · NPI 1710701149
Rehabilitation, Substance Use Disorder organization in Charlotte, North Carolina. Organization record, active in the CMS NPPES registry since November 12, 2024.
## Identity
- **NPI:** 1710701149 (Entity type: Organization)
- **Enumerated:** November 12, 2024
- **Primary specialty:** Clinic/Center - Rehabilitation, Substance Use Disorder · taxonomy 261QR0405X
- **Organization subpart:** No
- **Authorized official:** Shannon Erb, MANAGER
## Practice location
- **Address:** 1117 E MOREHEAD ST, Charlotte, NC 28204-2895
- **Phone:** (859) 304-4047
## Record status
- **NPPES last updated:** July 7, 2026
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1710701149) · Data from the CMS NPPES public registry.