| Lamp On A Stand Life Center Llc | |
|
130 Hill St Elkin NC 28621-2416 | |
| (336) 423-6140 | |
| Not Available |
| Full Name | Lamp On A Stand Life Center Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 130 Hill St, Elkin, North Carolina |
| Authorized Official Name and Position | William Anthony Burchette (OWNER) |
| Authorized Official Contact | 3364236140 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lamp On A Stand Life Center Llc 210 Ne 39th St Oak Island NC 28465-5639 Ph: (336) 423-6140 | Lamp On A Stand Life Center Llc 130 Hill St Elkin NC 28621-2416 Ph: (336) 423-6140 |
| NPI Number | 1114400272 |
|---|---|
| Provider Enumeration Date | 09/13/2018 |
| Last Update Date | 09/13/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114400272 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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