Lifesource of North Carolina
Lifesource of North Carolina is a Psychiatry Physician in Holland, Ohio. Registered with an NPI since 2022.
- In the registry since
- 2022
- Specialties on file
- 4
Practice location Address checks out
1525 Eber RdHolland, OH 43528-9616
Phone: (910) 742-9243
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Nurse Practitioner (primary) | Taxonomy 363L00000X |
|---|---|
| Psychiatry Physician | Taxonomy 2084P0800X |
| Physician Assistant | Taxonomy 363A00000X |
| Psychiatric/Mental Health Nurse Practitioner | Taxonomy 363LP0808X |
Record details
| NPI number | 1710620117 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Amanda Seymour — Credentialing Specialist · (910) 794-4521 |
| NPI enumerated | April 14, 2022 |
| Last updated in NPPES | April 10, 2024 |
| Certification date | April 10, 2024 |
| Mailing address | Po Box 538622, Atlanta, GA 30353-8622 |
Other providers in Holland
-
Jane Broering Ammons
7429 International Dr #2, Holland, OH 43528 · (419) 866-8232
-
Sreekanth V Indurti MD Inc
218 Forest Glen Dr, Holland, OH 43528-8195 · (419) 885-0200