Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Autism Services of Mecklenburg County, Inc

Organization Intellectual Disabilities Intermediate Care Facility · NPI 1043561764

Autism Services of Mecklenburg County, Inc is an Intellectual Disabilities Intermediate Care Facility in Charlotte, North Carolina. Licensed in North Carolina. Registered with an NPI since 2012.

Licensed in
NC
In the registry since
2012
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1123 Ravendale Dr
Charlotte, NC 28216-1526
Phone: (704) 399-3538
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Intellectual Disabilities Intermediate Care Facility (primary) Taxonomy 315P00000X · Licence MHL-060-231 (NC)

Record details

NPI number1043561764
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jack Phillips — Executive Director/Ceo · (704) 392-9220
NPI enumeratedSeptember 20, 2012
Last updated in NPPESSeptember 20, 2012
Mailing address2211 Executive St, Suite A, Charlotte, NC 28208-3661

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