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

Southlake Center for Self Discovery

Organization Clinical Social Worker · NPI 1366656910

Southlake Center for Self Discovery is a Clinical Social Worker in Davidson, North Carolina. Registered with an NPI since 2007.

In the registry since
2007

Practice location Address checks out

903 NE Dr Ste 201
Davidson, NC 28036-7438
Phone: (704) 896-7776
Fax: (704) 896-0992
Show map & directions

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

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X

Record details

NPI number1366656910
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kimberly Krueger — Owner Director · (704) 896-7776
NPI enumeratedMay 10, 2007
Last updated in NPPESJune 23, 2009
Mailing address903 Northeast Dr Ste 201, Davidson, NC 28036-7438

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