Lake Norman Psychiatry & Counseling, Pllc in Mooresville - Psychosomatic Medicine
Lake Norman Psychiatry & Counseling, Pllc - NPI 1568674752
Lake Norman Psychiatry & Counseling, Pllc is a Psychosomatic Medicine in Mooresville, North Carolina. Lake Norman Psychiatry & Counseling, Pllc practices all healthcare services and medical treatments related to Psychosomatic Medicine. The NPI Number for Lake Norman Psychiatry & Counseling, Pllc is 1568674752. The last update date is 2020-08-22.
Lake Norman Psychiatry & Counseling, Pllc's current location address is 116 South Main Street Suite 205, Mooresville, North Carolina. You can contact this provider via phone number 7046623270 and fax number 7046623288. The mailing address for Lake Norman Psychiatry & Counseling, Pllc is 116 South Main Street Suite 205, Mooresville, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Lake Norman Psychiatry & Counseling, Pllc |
|---|---|
| Address | 116 South Main Street Suite 205, Mooresville, North Carolina |
| Phone Number | 7046623270 |
| Fax Number | 7046623288 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | MEMBER MAN |
|---|---|
| Authorized Official Name | Latz Edward John |
| Credentials | M.D. |
| Telephone Number | 7046623200 |
NPI Number Detail
| NPI Number | 1568674752 |
|---|---|
| Provider Enumeration Date | 2007-05-03 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 116 South Main Street Suite 205 |
|---|---|
| City | Mooresville |
| State | North Carolina (NC) |
| Post Code | 281150900 |
| Phone Number | 7046623270 |
| Fax Number | 7046623288 |
Provider's Primary Taxonomy Detail
| Speciality | Psychosomatic Medicine |
|---|---|
| Taxonomy | 2084P0015X |
| Licence No | 35688 |
|
Definition: Psychosomatic Medicine is subspecialty in the diagnosis and treatment of psychiatric disorders and symptoms in complex medically ill patients. This subspecialty includes treatment of patients with acute or chronic medical, neurological, obstetrical o |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 0276R | NC | BCBS GROUP NUMBER | |
| 890276R | NC | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Lake Norman Psychiatry & Counseling, Pllc by the Centers for Medicare & Medicaid Services?
The Lake Norman Psychiatry & Counseling, Pllc has been issued the NPI (National Provider Identifier) 1568674752 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Lake Norman Psychiatry & Counseling, Pllc is located?
The Lake Norman Psychiatry & Counseling, Pllc is situated at the following address: 116 South Main Street Suite 205, Mooresville, NC, 281150900.
What is the Lake Norman Psychiatry & Counseling, Pllc's area of specialization and corresponding taxonomy classification?
The Lake Norman Psychiatry & Counseling, Pllc's specialty field is Psychosomatic Medicine, and it falls under the taxonomy code 2084P0015X, which categorizes healthcare providers based on their specialties.
On what date was the 1568674752 assigned to Lake Norman Psychiatry & Counseling, Pllc?
The Lake Norman Psychiatry & Counseling, Pllc was issued its 1568674752 on 2007-05-03, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Lake Norman Psychiatry & Counseling, Pllc most recently updated or refreshed?
The details pertaining to the Lake Norman Psychiatry & Counseling, Pllc, including its address, specialty, and other relevant information, were last updated or refreshed on 2020-08-22.
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