Lifesource of North Carolina
Lifesource of North Carolina is a Clinical Psychologist in Clinton, South Carolina. Works from 2 locations. Registered with an NPI since 2012.
- In the registry since
- 2012
- Specialties on file
- 7
Practice location Address checks out
939 Springdale DrClinton, SC 29325-7266
Phone: (910) 742-9243
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 2101 Dutch Fork Rd, Chapin, SC 29036-7576 — (910) 742-9243
Specialties & licences
| General Practice Physician (primary) | Taxonomy 208D00000X |
|---|---|
| Clinical Psychologist | Taxonomy 103TC0700X |
| Clinical Social Worker | Taxonomy 1041C0700X |
| Family Medicine Physician | Taxonomy 207Q00000X |
| Psychiatry Physician | Taxonomy 2084P0800X |
| Physician Assistant | Taxonomy 363A00000X |
| Nurse Practitioner | Taxonomy 363L00000X |
Record details
| NPI number | 1972861789 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Peggy Baddour — President/Owner · (910) 777-9165 |
| NPI enumerated | April 30, 2012 |
| Last updated in NPPES | May 17, 2022 |
| Certification date | May 17, 2022 |
| Mailing address | Po Box 538622, Atlanta, GA 30353-8622 |