Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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St Michael's Therapeutic Services, Inc #2

Organization Emotionally Disturbed Childrens' Residential Treatment Facility · NPI 1073702429

St Michael's Therapeutic Services, Inc #2 is an Emotionally Disturbed Childrens' Residential Treatment Facility in Concord, North Carolina. Licensed in North Carolina. Registered with an NPI since 2007.

Licensed in
NC
In the registry since
2007
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

4477 Fawnbrook Ave
Concord, NC 28027-0412
Phone: (704) 637-3375
Fax: (704) 782-9383
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emotionally Disturbed Childrens' Residential Treatment Facility (primary) Taxonomy 322D00000X · Licence MHL-080-163 (NC)

Record details

NPI number1073702429
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tasheema Shore — Owner · (704) 701-2582
NPI enumeratedOctober 22, 2007
Last updated in NPPESOctober 22, 2007
Mailing address4477 Fawnbrook Ave, Concord, NC 28027-0412

Other providers in Concord