The Center at Lake Norman

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

7015A Issued in NC

Legal business name

THE CENTER AT LAKE NORMAN

Practice address

132 Joe Knox Ave Ste 100
Mooresville, NC 28117-9203

Phone

(704) 980-9234

Fax

(866) 321-9367

NPI assigned

Feb 8, 2011

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Larry Green, LMFTA

Title

Owner/Manager

Phone

(704) 980-9234

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1297123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297123200000",
    "number": "1043516008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "132 JOE KNOX AVE STE 100",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281179203",
            "telephone_number": "704-980-9234",
            "fax_number": "866-321-9367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "132 JOE KNOX AVE STE 100",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281179203",
            "telephone_number": "704-980-9234",
            "fax_number": "866-321-9367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE CENTER AT LAKE NORMAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-08",
        "last_updated": "2011-02-08",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "LARRY",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "704-980-9234",
        "authorized_official_credential": "LMFTA"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "NC",
            "license": "7015A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Telos Health Systems NC Provider Services
• Meredith Ann Morrison Tew, MA, CCC-SLP
• Nechol Thayer
• The Bright Kid Collective NC
• The Carolina Men'S Clinic
• The Conway Group, LLC
• The Get Well Institute
• The Jarrard Group Inc.
• The Medical Zone, Inc.
• The Mental Health Association in North Carolina, Inc.

• Marriage & Family Therapist in Mooresville, NC
• Providers in Mooresville, NC by specialty
• Marriage & Family Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.