Provider Demographics
NPI:1740080787
Name:THERAPEUTIC ENCOURAGING ACADEMIC MOTIVATIONAL SUPPORT SERVICES LLC
Entity type:Organization
Organization Name:THERAPEUTIC ENCOURAGING ACADEMIC MOTIVATIONAL SUPPORT SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:FREDRICK
Authorized Official - Middle Name:
Authorized Official - Last Name:INGRAM
Authorized Official - Suffix:
Authorized Official - Credentials:QP
Authorized Official - Phone:980-333-5860
Mailing Address - Street 1:1308 FONTANA AVE
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28206-2851
Mailing Address - Country:US
Mailing Address - Phone:980-333-5860
Mailing Address - Fax:
Practice Address - Street 1:1308 FONTANA AVE
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28206-2851
Practice Address - Country:US
Practice Address - Phone:980-333-5860
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-18
Last Update Date:2025-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health