LIFESOURCE OF NORTH CAROLINA – NPI #1295311595
Psychiatry & Neurology

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

LIFESOURCE OF NORTH CAROLINA is a psychiatry & neurologist located in SOUTH BEND, IN. NPPES has assigned the NPI number 1295311595 to LIFESOURCE OF NORTH CAROLINA on March 18, 2021. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 2084P0800X from the Health Care Provider Taxonomy code set, which is classified as Psychiatry & Neurology, specializing in Psychiatry

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for LIFESOURCE OF NORTH CAROLINA below.

NPI Profile for
LIFESOURCE OF NORTH CAROLINA

NPI Number
1295311595
Enumeration Date

(more than 5 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
LIFESOURCE OF NORTH CAROLINA
Primary location
4600 W WASHINGTON ST
SOUTH BEND, IN 46619-2320
Phone: (910) 742-9243 Fax: (888) 746-1787
Mailing address
PO BOX 538622
ATLANTA, GA 30353-8622
Phone: (910) 742-9243 Fax: (888) 746-1787
Organization Subpart
No
Authorized Official
PEGGY BADDOUR
PRESIDENT
Phone: (910) 777-9165
Updated
Certification Date
Mar 18, 2021

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.