Organization
BEHAVIORAL HEALTH SERVICES OF LAKE NORMAN
Active
Organization
BEHAVIORAL HEALTH SERVICES OF LAKE NORMAN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL E RIFE (OWNER)
(704) 660-8321
Entity
Organization
Contact information
Practice address
107 KILSON DR, SUITE 202, MOORESVILLE, NC 28117-8162
(704) 660-8321
(704) 660-8323
Mailing address
107 KILSON DR, SUITE 202, MOORESVILLE, NC 28117-8162
(704) 660-8321
(704) 660-8323
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2215
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6103394
—
NC
Enumeration date
04/11/2016
Last updated
04/11/2016
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