# THE CENTER AT LAKE NORMAN

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043516008
- **Authorized official:** LARRY GREEN LMFTA (OWNER/MANAGER)
- **Authorized official phone:** (704) 980-9234

## Contact information

- **Practice address:** 132 JOE KNOX AVE STE 100, MOORESVILLE, NC 28117-9203
- **Practice address phone:** (704) 980-9234
- **Practice address fax:** (866) 321-9367
- **Mailing address:** 132 JOE KNOX AVE STE 100, MOORESVILLE, NC 28117-9203
- **Mailing address phone:** (704) 980-9234
- **Mailing address fax:** (866) 321-9367

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | 7015A | NC | Yes |

## Other

- **Enumeration date:** 02/08/2011
- **Last updated:** 02/08/2011