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Contact Information

CONVERSION THERAPEUTIC SERVICES INC
11535 CARMEL COMMONS BLVD STE 102
CHARLOTTE, NC28226-5314
 Phone: 704-910-1788
 Fax:
 Website:
Indicates primary specialty

NPI Profile & details for CONVERSION THERAPEUTIC SERVICES INC

NPI Number 1295598704
LBN Legal business name CONVERSION THERAPEUTIC SERVICES INC
Authorized official TENICIA WASHINGTON - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 02/06/2024
Last updated 10/08/2024 - More than a year ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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