Lake Norman Family Therapy, Pllc

NPI 1255445292 - Social Worker - 1041C0700X

NPI Details
NPI 1255445292
Enumeration Date 08/18/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name NICHOLE DANIELLE NICHOLE
Position OWNER
Phone (704) 614-2571
Fax (704) 948-5654
Practice Location
19900 S MAIN ST
CORNELIUS NC, 28031-6512, US
Phone (704) 614-2571
Fax (704) 948-5654
Business Location
PO BOX 1732
HUNTERSVILLE NC, 28070-1732, US
Phone (704) 614-2571
Fax (704) 948-5654
Toxanomy
Taxonomy Code 1041C0700X
License State North Carolina
License Number C003592
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According to our database, Lake Norman Family Therapy, Pllc NPI is 1255445292, taxonomy code is 1041C0700X and license number is C003592, license state is located at North Carolina. Lake Norman Family Therapy, Pllc physically located at 19900 S Main St, Cornelius NC, 28031-6512. NPI Number 1033115704 has the healthcare provider type.

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1255445292 NPI number is provided on an as is basis without warranty of any kind. 1255445292 is maintained by the National Plan & Provider Enumeration System. The contents of Lake Norman Family Therapy, Pllc are for informational purposes only.