Provider Demographics
NPI:1972809903
Name:CAROLINA ACCESS SUPPORT & ENRICHMENT SERVICES INC
Entity type:Organization
Organization Name:CAROLINA ACCESS SUPPORT & ENRICHMENT SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:FELICIA
Authorized Official - Middle Name:ELIZABETH
Authorized Official - Last Name:CAMPBELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:704-200-9949
Mailing Address - Street 1:5108 REAGAN DR
Mailing Address - Street 2:SUITE 10
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28206-3103
Mailing Address - Country:US
Mailing Address - Phone:704-200-9949
Mailing Address - Fax:704-353-7233
Practice Address - Street 1:5108 REAGAN DR
Practice Address - Street 2:SUITE 10
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28206-3103
Practice Address - Country:US
Practice Address - Phone:704-200-9949
Practice Address - Fax:704-353-7233
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-09
Last Update Date:2011-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty
No2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatricsGroup - Multi-Specialty
No235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty