Lifesource of North Carolina
NPI #1801431440 in Cedar Falls, Iowa
Provider Information
- NPI Number
- 1801431440
- Entity Type
- Organization
- Organization Name
- Lifesource of North Carolina
- Primary Specialty
- Social Worker - Clinical
- Enumeration Date
- Nov 7, 2019
- Last Updated
- Mar 26, 2021
Practice Location
- Address
- 1728 W 8TH ST
- City
- Cedar Falls
- State
- Iowa
- ZIP Code
- 50613-2002
- Phone
- (910) 742-9243
Authorized Official
- Name
- PEGGY BADDOUR
- Title
- PRESIDENT
- Phone
- (910) 777-9165
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychologist - Clinical — Clinical |
| Psychiatry & Neurology - Psychiatry — Psychiatry |
| Physician Assistant |
| Nurse Practitioner |
| Social Worker - Clinical — Clinical |
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