Lake Norman Psychiatry & Counseling, Pllc
LBN: Lake Norman Psychiatry & Counseling, Pllc
Lake Norman Psychiatry & Counseling, Pllc is an health care organization with primary practice located at 116 South Main Street Suite 205 , Mooresville NC 28115-0900. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Psychosomatic Medicine, which is considered as the primary health care specialty.
Lake Norman Psychiatry & Counseling, Pllc can be contacted via phone (704) 662-3270, or through Latz, John Edward via phone (704) 662-3200.
Contact Information
Primary practice address
116 South Main Street Suite 205
Mooresville NC 28115-0900
Phone: (704) 662-3270
Fax: (704) 662-3288
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychosomatic Medicine | 2084P0015X | 35688 | North Carolina |
Profile Details
| NPI number | 1568674752 |
|---|---|
| LBN Legal business name | Lake Norman Psychiatry & Counseling, Pllc |
| DBA Doing business as | |
| Authorized official | Latz, John Edward Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 3rd, 2007 |
| Last updated | Aug 22nd, 2020 - about 4 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1568674752 | NPPES |
| North Carolina | Other | 0276R | BCBS GROUP NUMBER |
| North Carolina | MEDICAID | 890276R | BCBS GROUP NUMBER |
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