Conversion Therapeutic Services Inc
NPI 1295598704 · Developmental Disabilities Clinic/Center · Charlotte, NC
Conversion Therapeutic Services Inc is a Developmental Disabilities Clinic/Center organization in Charlotte, NC (NPI 1295598704).
Provider details
- NPI number
- 1295598704
- Entity type
- Organization
- Primary specialty
- Developmental Disabilities Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Tenicia Washington, Owner(443) 531-1988
Specialties & taxonomies
Ambulatory Health Care Facilities
Agencies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility320900000X
Residential Treatment Facilities
Respite Care Facility
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 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
- 2024-02-06
- Last updated
- 2024-10-08
- Certified
- 2024-10-08
Frequently asked questions
- What is Conversion Therapeutic Services Inc's NPI number?
- Conversion Therapeutic Services Inc's National Provider Identifier (NPI) is 1295598704, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Conversion Therapeutic Services Inc?
- Conversion Therapeutic Services Inc is classified in the NPPES registry as Developmental Disabilities Clinic/Center (Ambulatory Health Care Facilities).
- Where is Conversion Therapeutic Services Inc located?
- Conversion Therapeutic Services Inc's practice location on file with NPPES is 11535 Carmel Commons Blvd Ste 102, Charlotte, NC 28226-5314.
- What is Conversion Therapeutic Services Inc's phone number?
- The practice phone number listed in the NPPES registry for Conversion Therapeutic Services Inc is (704) 910-1788.
- Who is the authorized official for Conversion Therapeutic Services Inc?
- The authorized official listed on Conversion Therapeutic Services Inc's NPPES record is Tenicia Washington, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Conversion Therapeutic Services Inc's NPI active?
- Yes — Conversion Therapeutic Services Inc's NPI (1295598704) is active in the NPPES registry as of the last update on 2024-10-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.