Lifesource of North Carolina
Lifesource of North Carolina is a Psychologist in Milton, Florida. Registered with an NPI since 2019.
- In the registry since
- 2019
- Specialties on file
- 6
Practice location Address checks out
5530 Northrop RdMilton, FL 32570-8701
Phone: (910) 742-9243
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Psychologist (primary) | Taxonomy 103T00000X |
|---|---|
| Clinical Social Worker | Taxonomy 1041C0700X |
| Psychiatry Physician | Taxonomy 2084P0800X |
| Physician Assistant | Taxonomy 363A00000X |
| Nurse Practitioner | Taxonomy 363L00000X |
| Psychiatric/Mental Health Nurse Practitioner | Taxonomy 363LP0808X |
Record details
| NPI number | 1730648288 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Peggy Baddour — President · (910) 777-9165 |
| NPI enumerated | March 14, 2019 |
| Last updated in NPPES | March 25, 2021 |
| Certification date | March 25, 2021 |
| Mailing address | Po Box 538622, Atlanta, GA 30353-8622 |