Southlake Psychiatry Pc is a Psychiatry Clinic in Davidson, North Carolina. It is located at 903 Northeast Dr, Suite 301, Davidson, NC and its contact number is 704-894-9309. The authorized person for Southlake Psychiatry Pc is Dr. Thomas Michael Fitzgerald
who is President of the clinic and his/her contact number is 704-894-9309. The primary license number for Southlake Psychiatry Pc is 9300112 (Psychiatry) in North Carolina.
Southlake Psychiatry Pc Clinic specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
Complete Clinic Profile:
Southlake Psychiatry Pc Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Southlake Psychiatry Pc |
| Specialization: | Psychiatry |
| Clinic Address: | 903 Northeast Dr, Suite 301, Davidson,
North Carolina, 28036 |
| Phone: | 704-894-9309 |
| Fax: | 704-894-9304 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | Dr. Thomas Michael Fitzgerald |
| Position: | President |
| Contact Number: | 704-894-9309 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Southlake Psychiatry Pc clinic are as mentioned below.
| NPI Number: | 1295921724 |
| NPI Enumeration Date: | 18 Sep, 2007 |
| NPI Last Update On: | 01 Aug, 2025 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Southlake Psychiatry Pc are as mentioned below.
| Specialization | License Number | State | Status | |
| Psychiatry | 9300112 | North Carolina | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| B3348 | Other | North Carolina | Bcbs |
| 8932269 | Medicaid | North Carolina | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Southlake Psychiatry Pc
903 Northeast Dr, Suite 301
Davidson, North Carolina |
| Zip: | 28036-7416 |
| Phone Number: | 704-894-9309 |
| Fax Number: | 704-894-9304 |
Patients can reach Southlake Psychiatry Pc at
903 Northeast Dr, Suite 301, Davidson, North Carolina or can
call to book an appointment on 704-894-9309.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 October, 2025.