Provider Demographics
NPI:1871831941
Name:TST SERVICES,INC
Entity Type:Organization
Organization Name:TST SERVICES,INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TRINA
Authorized Official - Middle Name:
Authorized Official - Last Name:STEPHENSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-593-9056
Mailing Address - Street 1:1575 SPRING HILL CHURCH RD
Mailing Address - Street 2:
Mailing Address - City:LILLINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:27546-9531
Mailing Address - Country:US
Mailing Address - Phone:910-893-9999
Mailing Address - Fax:910-893-1001
Practice Address - Street 1:1575 SPRING HILL CHURCH RD
Practice Address - Street 2:
Practice Address - City:LILLINGTON
Practice Address - State:NC
Practice Address - Zip Code:27546-9531
Practice Address - Country:US
Practice Address - Phone:910-893-9999
Practice Address - Fax:910-893-1001
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-24
Last Update Date:2013-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities