Lifesource Of North Carolina is a Clinical - Psychology Clinic in Clinton, South Carolina. It is located at 939 Springdale Dr, Clinton, SC and its contact number is 910-742-9243. The authorized person for Lifesource Of North Carolina is Peggy L Baddour
who is President/owner of the clinic and his/her contact number is 910-777-9165. Lifesource Of North Carolina Clinic has mental health professionals specialized in the diagnosis and psychological treatment of mental, behavioral and emotional illnesses, including obsessive-compulsive disorder (OCD). Psychologists main focus is on diagnosing and treating mental, emotional, and behavioral disorders. Some of the common disorders that psychologists can treat are learning disabilities, substance abuse, depression, anxiety, and eating disorders.
Complete Clinic Profile:
Lifesource Of North Carolina Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Lifesource Of North Carolina
Specialization:
Clinical Psychology
Clinic Address:
939 Springdale Dr, Clinton, South Carolina, 29325-7266
Phone:
910-742-9243
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:
Peggy L Baddour
Position:
President/owner
Contact Number:
910-777-9165
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 Lifesource Of North Carolina clinic are as mentioned below.
NPI Number:
1972861789
NPI Enumeration Date:
30 Apr, 2012
NPI Last Update On:
17 May, 2022
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Lifesource Of North Carolina are as mentioned below.
Specialization
License Number
State
Status
General Practice
Primary
Clinical
Secondary
Clinical
Secondary
Family Medicine
Secondary
Psychiatry
Secondary
Physician Assistant
Secondary
Nurse Practitioner
Secondary
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
GP5917
Medicaid
South 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:
Lifesource Of North Carolina Po Box 538622, Atlanta, Georgia
Zip:
30353-8622
Phone Number:
910-742-9243
Patients can reach Lifesource Of North Carolina at 939 Springdale Dr, Clinton, South Carolina or can call to book an appointment on 910-742-9243. *Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.