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:
30 Jun, 2015
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. *Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.