| Lakewood | |
|
302 Greenwood Pl Belmont NC 28012-2911 | |
| (704) 829-4410 | |
| Not Available |
| Full Name | Lakewood |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 302 Greenwood Pl, Belmont, North Carolina |
| Authorized Official Name and Position | Shannon Childress (CHIEF CLINICAL OFFICER) |
| Authorized Official Contact | 7048294410 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lakewood Po Box 710 Belmont NC 28012-0710 Ph: () - | Lakewood 302 Greenwood Pl Belmont NC 28012-2911 Ph: (704) 829-4410 |
| NPI Number | 1801129127 |
|---|---|
| Provider Enumeration Date | 09/18/2009 |
| Last Update Date | 08/30/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801129127 | NPI | - | NPPES |
| 1619310851 | Other | NC | STATE FUNDS |
| 7802691 | Medicaid | NC | |
| 3408854 | Medicaid | NC |
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