Self-Full Psychotherapy, Pc

LBN: Self-Full Psychotherapy, Pc
Self-Full Psychotherapy, Pc is an health care organization with primary practice located at 106 Oakley Ave Suite 300, Pineville NC 28134-8620. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty. Self-Full Psychotherapy, Pc can be contacted via phone (704) 576-3635, or through Luke, Dorothy Christin via phone (704) 576-3635.

Contact Information

Primary practice address
106 Oakley Ave Suite 300 Pineville NC 28134-8620
Fax: (704) 889-5649
Website:
Authorized official contact:
Name: Luke, Dorothy Christin MSW, LCSW

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X C004450 North Carolina

Profile Details

NPI number 1710126412
LBN Legal business name Self-Full Psychotherapy, Pc
DBA Doing business as
Authorized official Luke, Dorothy Christin MSW, LCSW
Entity Organization
Organization subpart 1 No
Enumeration date Feb 19th, 2009
Last updated Feb 19th, 2009 - about 16 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 1710126412 NPPES
North Carolina MEDICAID 6002779

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