| The Center At Lake Norman | |
|
132 Joe Knox Ave Ste 100 Mooresville NC 28117-9203 | |
| (704) 980-9234 | |
| (866) 321-9367 |
| Full Name | The Center At Lake Norman |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 132 Joe Knox Ave Ste 100, Mooresville, North Carolina |
| Authorized Official Name and Position | Larry Green (OWNER/MANAGER) |
| Authorized Official Contact | 7049809234 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Center At Lake Norman 132 Joe Knox Ave Ste 100 Mooresville NC 28117-9203 Ph: (704) 980-9234 | The Center At Lake Norman 132 Joe Knox Ave Ste 100 Mooresville NC 28117-9203 Ph: (704) 980-9234 |
| NPI Number | 1043516008 |
|---|---|
| Provider Enumeration Date | 02/08/2011 |
| Last Update Date | 02/08/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043516008 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 7015A (North Carolina) | Primary |
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