# LUTHERAN FAMILY SERVICES IN THE CAROLINAS

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** LUTHERAN FAMILY SERVICES IN THE CAROLINAS
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1770895310
- **Legal business name:** LUTHERAN FAMILY SERVICES IN THE CAROLINAS
- **Authorized official:** KIRBY NICKERSON (CFO)
- **Authorized official phone:** (704) 637-2870

## Contact information

- **Practice address:** 616 HUTTON ST, RALEIGH, NC 27606-1444
- **Practice address phone:** (919) 832-2620
- **Mailing address:** PO BOX 2369, SALISBURY, NC 28145
- **Mailing address phone:** (704) 637-2870
- **Mailing address fax:** (704) 637-2950

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 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 | — | NULL | Yes |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | — | NULL | — |

## Other

- **Enumeration date:** 07/12/2010
- **Last updated:** 08/23/2013