Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
SOUTHLAKE CENTER FOR SELF DISCOVERY
Active
Organization
SOUTHLAKE CENTER FOR SELF DISCOVERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KIMBERLY KRUEGER MSW, LCSW (OWNER DIRECTOR)
(704) 896-7776
Entity
Organization
Contact information
Practice address
903 NORTHEAST DR STE 201, DAVIDSON, NC 28036-7438
(704) 896-7776
(704) 896-0992
Mailing address
903 NORTHEAST DR STE 201, DAVIDSON, NC 28036-7438
(704) 896-7776
(704) 896-0992
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
05/10/2007
Last updated
06/23/2009
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up