St. Michael'S Therapeutic Services, Inc. #2
NPI 1073702429 · Emotionally Disturbed Childrens' Residential Treatment Facility · Concord, NC
St. Michael'S Therapeutic Services, Inc. #2 is a Emotionally Disturbed Childrens' Residential Treatment Facility organization in Concord, NC (NPI 1073702429).
Provider details
- NPI number
- 1073702429
- Entity type
- Organization
- Primary specialty
- Emotionally Disturbed Childrens' Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Tasheema Shore, Owner(704) 701-2582
- License
- MHL-080-163 (NC)
Specialties & taxonomies
- Emotionally Disturbed Childrens' Residential Treatment FacilityPrimary322D00000XLicense MHL-080-163 (NC)
Residential Treatment Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-10-22
- Last updated
- 2007-10-22
Frequently asked questions
- What is St. Michael'S Therapeutic Services, Inc. #2's NPI number?
- St. Michael'S Therapeutic Services, Inc. #2's National Provider Identifier (NPI) is 1073702429, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is St. Michael'S Therapeutic Services, Inc. #2?
- St. Michael'S Therapeutic Services, Inc. #2 is classified in the NPPES registry as Emotionally Disturbed Childrens' Residential Treatment Facility (Residential Treatment Facilities).
- Where is St. Michael'S Therapeutic Services, Inc. #2 located?
- St. Michael'S Therapeutic Services, Inc. #2's practice location on file with NPPES is 4477 Fawnbrook Ave, Concord, NC 28027-0412.
- What is St. Michael'S Therapeutic Services, Inc. #2's phone number?
- The practice phone number listed in the NPPES registry for St. Michael'S Therapeutic Services, Inc. #2 is (704) 637-3375.
- Who is the authorized official for St. Michael'S Therapeutic Services, Inc. #2?
- The authorized official listed on St. Michael'S Therapeutic Services, Inc. #2's NPPES record is Tasheema Shore, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is St. Michael'S Therapeutic Services, Inc. #2's NPI active?
- Yes — St. Michael'S Therapeutic Services, Inc. #2's NPI (1073702429) is active in the NPPES registry as of the last update on 2007-10-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.