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

Conversion Therapeutic Services Inc

Organization Developmentally Disabled Services Day Training Agency · NPI 1295598704

Conversion Therapeutic Services Inc is a Developmentally Disabled Services Day Training Agency in Charlotte, North Carolina. Registered with an NPI since 2024.

In the registry since
2024
Specialties on file
4
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

11535 Carmel Commons Blvd Ste 102
Charlotte, NC 28226-5314
Phone: (704) 910-1788
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Developmental Disabilities Clinic/Center (primary) Taxonomy 261QD1600X
Developmentally Disabled Services Day Training Agency Taxonomy 251C00000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Taxonomy 320900000X
Child Intellectual and/or Developmental Disabilities Respite Care Taxonomy 385HR2060X

Record details

NPI number1295598704
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tenicia Washington — Owner · (443) 531-1988
NPI enumeratedFebruary 6, 2024
Last updated in NPPESOctober 8, 2024
Certification dateOctober 8, 2024
Mailing address848 Kathy Dianne Dr, Indian Land, SC 29707-6898

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