| Lake Norman Treatment Associates, Llc | |
|
9820 Northcross Center Ct Ste 125 Huntersville NC 28078-7356 | |
| (980) 439-9000 | |
| (704) 970-0302 |
| Full Name | Lake Norman Treatment Associates, Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 9820 Northcross Center Ct Ste 125, Huntersville, North Carolina |
| Authorized Official Name and Position | Hannah Tuttle (OWNER) |
| Authorized Official Contact | 9804399000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lake Norman Treatment Associates, Llc 9820 Northcross Center Ct Ste 125 Huntersville NC 28078-7356 Ph: (980) 439-9000 | Lake Norman Treatment Associates, Llc 9820 Northcross Center Ct Ste 125 Huntersville NC 28078-7356 Ph: (980) 439-9000 |
| NPI Number | 1609399195 |
|---|---|
| Provider Enumeration Date | 07/17/2017 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609399195 | NPI | - | NPPES |
| 1487930012 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 2637 (North Carolina) | Secondary |
| 101YP2500X | Counselor - Professional | 13263 (North Carolina) | Primary |
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