Lifesource of North Carolina
Lifesource of North Carolina is a Clinical Psychologist in Menominee, Michigan. Registered with an NPI since 2020.
- In the registry since
- 2020
- Specialties on file
- 5
Practice location Address checks out
501 2nd StMenominee, MI 49858-3203
Phone: (910) 742-9243
Fax: (888) 746-1787
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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 |
| Physician Assistant | Taxonomy 363A00000X |
| Nurse Practitioner | Taxonomy 363L00000X |
Record details
| NPI number | 1649877762 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Peggy Baddour — President · (910) 338-2882 |
| NPI enumerated | October 1, 2020 |
| Last updated in NPPES | March 25, 2021 |
| Certification date | March 25, 2021 |
| Mailing address | Po Box 538622, Atlanta, GA 30353-8622 |
Other providers in Menominee
-
MS. Joanne Black, MALLP
447 1st St, Menominee, MI 49858-3307 · (906) 864-2590
-
Suzanne Brzykcy, LLP, CMHP/QMHP
401 10th Ave, Menominee, MI 49858-3009 · (906) 290-1858