Organization
LOLLY THERAPEUTICS, LLC
Active
Organization
LOLLY THERAPEUTICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LONNY BERNATH (CEO)
(704) 258-5148
Entity
Organization
Contact information
Practice address
134 INFIELD CT, MOORESVILLE, NC 28117-8026
(704) 799-6824
Mailing address
134 INFIELD CT, MOORESVILLE, NC 28117-8026
(704) 799-6824
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
103K00000X
Behavior Analyst
—
—
103T00000X
Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
Primary
—
—
235Z00000X
Speech-Language Pathologist
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
02/19/2014
Last updated
04/07/2026
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