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Organization
LUTHERAN FAMILY SERVICES IN THE CAROLINAS
Active
Organization
LUTHERAN FAMILY SERVICES IN THE CAROLINAS
Active
Parent organization
LUTHERAN FAMILY SERVICES IN THE CAROLINAS
Organization subpart
Yes
Provider details
NPI number
Legal business name
LUTHERAN FAMILY SERVICES IN THE CAROLINAS
Authorized official
KIRBY NICKERSON (CFO)
(704) 637-2870
Entity
Organization
Contact information
Practice address
616 HUTTON ST, RALEIGH, NC 27606-1444
(919) 832-2620
Mailing address
PO BOX 2369, SALISBURY, NC 28145
(704) 637-2870
(704) 637-2950
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
—
NULL
103TC1900X
Counseling Psychologist
—
—
103TH0100X
Health Service Psychologist
—
NULL
103TH0100X
Health Service Psychologist
—
—
103TP0016X
Prescribing (Medical) Psychologist
—
NULL
103TP0016X
Prescribing (Medical) Psychologist
—
—
103TP0814X
Psychoanalysis Psychologist
—
NULL
103TP0814X
Psychoanalysis Psychologist
—
—
253J00000X
Foster Care Agency
—
NULL
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
NULL
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
—
NULL
Other
Enumeration date
07/12/2010
Last updated
08/23/2013
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