Lifesource of North Carolina
NPI #1386144418 in Cheyenne, Wyoming
Provider Information
- NPI Number
- 1386144418
- Entity Type
- Organization
- Organization Name
- Lifesource of North Carolina
- Primary Specialty
- General Practice
- Enumeration Date
- Feb 15, 2018
- Last Updated
- Mar 25, 2021
Practice Location
Authorized Official
- Name
- PEGGY BADDOUR
- Title
- PRESIDENT/OWNER
- Phone
- (910) 777-9165
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychologist - Clinical — Clinical |
| Social Worker - Clinical — Clinical |
| Family Medicine |
| Psychiatry & Neurology - Psychiatry — Psychiatry |
| Physician Assistant |
| Nurse Practitioner |
| General Practice |
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