| Southlake Center For Self Discovery | |
|
903 Northeast Dr Ste 201 Davidson NC 28036-7438 | |
| (704) 896-7776 | |
| (704) 896-0992 |
| Full Name | Southlake Center For Self Discovery |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 903 Northeast Dr Ste 201, Davidson, North Carolina |
| Authorized Official Name and Position | Kimberly Krueger (OWNER DIRECTOR) |
| Authorized Official Contact | 7048967776 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southlake Center For Self Discovery 903 Northeast Dr Ste 201 Davidson NC 28036-7438 Ph: (704) 896-7776 | Southlake Center For Self Discovery 903 Northeast Dr Ste 201 Davidson NC 28036-7438 Ph: (704) 896-7776 |
| NPI Number | 1366656910 |
|---|---|
| Provider Enumeration Date | 05/10/2007 |
| Last Update Date | 06/23/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366656910 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Hopewell Group Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 709 Northeast Dr Ste 20, Davidson, NC 28036 Phone: 912-596-7683 | |
Alloway Consulting, P.l.l.c. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 903 Northeast Drive, Suite 101, Davidson, NC 28036 Phone: 704-655-2828 Fax: 704-655-2830 | |
Balanced Choices, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 126 S Main St, Suite 2b, Davidson, NC 28036 Phone: 704-655-2827 | |
Triple Play Farm, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 19516 Kistler Farm Rd, Davidson, NC 28036 Phone: 704-608-8441 | |
Southlake Counseling & Consulting Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 903 Northeast Dr Ste 201, Davidson, NC 28036 Phone: 704-896-7776 Fax: 704-896-0992 | |
Davidson Clergy Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 455 S Main St, Suite 200, Davidson, NC 28036 Phone: 704-895-6487 Fax: 704-655-1481 | |
Green Couch Counseling Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 102 N Main St Ste 202, Davidson, NC 28036 Phone: 704-564-3955 |