Lamp on a Stand Life Center LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

LAMP ON A STAND LIFE CENTER LLC

Practice address

130 Hill St
Elkin, NC 28621-2416

Phone

(336) 423-6140

NPI assigned

Sep 13, 2018

Organization subpart

No

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

Authorized official

Name

William Anthony Burchette

Title

Owner

Phone

(336) 423-6140

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1536796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1536796800000",
    "number": "1114400272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 NE 39TH ST",
            "city": "OAK ISLAND",
            "state": "NC",
            "postal_code": "284655639",
            "telephone_number": "336-423-6140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 HILL ST",
            "city": "ELKIN",
            "state": "NC",
            "postal_code": "286212416",
            "telephone_number": "336-423-6140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAMP ON A STAND LIFE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-13",
        "last_updated": "2018-09-13",
        "status": "A",
        "authorized_official_last_name": "BURCHETTE",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "336-423-6140"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica King, FNP-C
• Kandi Terell Knightshead, MD
• Rose Marie Koves, NP
• Kreative Kare Homes
• Sarba Kundu, MD
• Kristin Clickett Laster, CRNA
• Steven Jay Lavine, MD
• Mark Edward Lawson, CRNA
• Andrew Dongjun Lee, M.D.
• Christy Jones Leupold, NP

• Mental Health Clinic/Center (Including Community Mental Health Center) in Elkin, NC
• Providers in Elkin, NC by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2018; 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.