Provider Demographics
NPI:1609914555
Name:NC THERAPEUTIC SERVICES, INC
Entity Type:Organization
Organization Name:NC THERAPEUTIC SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE-PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:ZAKIA
Authorized Official - Middle Name:A
Authorized Official - Last Name:NESBITT
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:336-375-1185
Mailing Address - Street 1:6004 WHITE CHAPEL WAY
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27405-2773
Mailing Address - Country:US
Mailing Address - Phone:336-375-1185
Mailing Address - Fax:336-272-2001
Practice Address - Street 1:6004 WHITE CHAPEL WAY
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27405-2773
Practice Address - Country:US
Practice Address - Phone:336-375-1185
Practice Address - Fax:336-272-2001
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5164101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty