LCG Therapy, PLLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

7575 Issued in NC

Legal business name

LCG THERAPY, PLLC

Practice address

900 S Vance St
Office 300
Sanford, NC 27330-4774

Phone

(919) 895-0978

Fax

(919) 777-2727

NPI assigned

Feb 13, 2012

Last updated

Feb 21, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Nejla Wooden, LPC

Title

Therapist

Phone

(919) 895-0978

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1329091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329782400000",
    "number": "1992078505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 S VANCE ST",
            "address_2": "OFFICE 300",
            "city": "SANFORD",
            "state": "NC",
            "postal_code": "273304774",
            "telephone_number": "919-895-0978",
            "fax_number": "919-777-2727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 S VANCE ST",
            "address_2": "OFFICE 300",
            "city": "SANFORD",
            "state": "NC",
            "postal_code": "273304774",
            "telephone_number": "919-895-0978",
            "fax_number": "919-777-2727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LCG THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-13",
        "last_updated": "2012-02-21",
        "status": "A",
        "authorized_official_last_name": "WOODEN",
        "authorized_official_first_name": "NEJLA",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "919-895-0978",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": "7575",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2012; 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.