Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lifesource of North Carolina

Organization Clinical Psychologist · NPI 1538728183

Lifesource of North Carolina is a Clinical Psychologist in Pikeville, Kentucky. Registered with an NPI since 2019.

In the registry since
2019
Specialties on file
8

Practice location Address checks out

200 Nursing Home Ln
Pikeville, KY 41501-6896
Phone: (910) 742-9243
Fax: (888) 746-1787
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X
Clinical Psychologist Taxonomy 103TC0700X
Psychiatry Physician Taxonomy 2084P0800X
Nurse Practitioner Taxonomy 363L00000X
Adult Health Nurse Practitioner Taxonomy 363LA2200X
Family Nurse Practitioner Taxonomy 363LF0000X
Gerontology Nurse Practitioner Taxonomy 363LG0600X
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X

Record details

NPI number1538728183
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Peggy Baddour — President · (910) 777-9165
NPI enumeratedJune 7, 2019
Last updated in NPPESMarch 25, 2021
Certification dateMarch 25, 2021
Mailing addressPo Box 538622, Atlanta, GA 30353-8622

Other providers in Pikeville