Lifesource of North Carolina
Lifesource of North Carolina is a Clinical Psychologist in Richmond, Virginia. Works from 2 locations. Registered with an NPI since 2018.
- In the registry since
- 2018
- Specialties on file
- 5
Practice location Address checks out
1901 Libbie AveRichmond, VA 23226-1808
Phone: (910) 742-9243
Fax: (888) 746-1787
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 10307 W Broad St., Glen Allen, VA 23060-6716 — (910) 742-9243
Specialties & licences
| Clinical Social Worker (primary) | Taxonomy 1041C0700X |
|---|---|
| Clinical Psychologist | Taxonomy 103TC0700X |
| Psychiatry Physician | Taxonomy 2084P0800X |
| Physician Assistant | Taxonomy 363A00000X |
| Nurse Practitioner | Taxonomy 363L00000X |
Record details
| NPI number | 1114419124 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Peggy Baddour — President/Owner · (910) 777-9165 |
| NPI enumerated | June 5, 2018 |
| Last updated in NPPES | March 25, 2021 |
| Certification date | March 25, 2021 |
| Mailing address | Po Box 538622, Atlanta, GA 30353-8622 |
Other providers in Richmond
-
Anh-Thuy Le, LCP
1308 Sherwood Ave, Richmond, VA 23220-1210 · (804) 828-3129
-
Dr. Katherine Leivy, PSYD
1201 Broad Rock Blvd, Richmond, VA 23249-0001 · (804) 675-5000
-
Jenee Lewis-Walker, PSYD, LCP
107 S 5th St, Richmond, VA 23219-3825 · (804) 819-4000
-
Libbie Psychological Associates, PC
5821 Staples Mill Rd, Richmond, VA 23228-5427 · (804) 288-1464
-
Dr. Julie S Linker, PHD
1250 E Marshall Street Psychiatry, Richmond, VA 23298-0710 · (804) 828-3114
-
Howard Lloyd, PHD
907 Floyd Ave, Richmond, VA 23284-9026 · (804) 828-5560
-
Daniele Longo, PHD
1403 Pemberton Rd Ste 306, Richmond, VA 23238-4474 · (804) 741-7500
-
Richard S Luck, EDD
9702 Gayton Rd Ste 181, Richmond, VA 23238-4907 · (804) 741-7500