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:
Map and Directions
Authorized official contact:
Name: Latz, John Edward Doctor of Medicine (MD)
Phone: (704) 662-3200

Health care specialties

SpecialtyCodeLicense #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 5 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1568674752 NPPES
North Carolina Other 0276R BCBS GROUP NUMBER
North Carolina MEDICAID 890276R BCBS GROUP NUMBER

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