National Provider Identifier Database

LIFESOURCE OF NORTH CAROLINA
Psychiatry

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.


Contact Information

LIFESOURCE OF NORTH CAROLINA
4600 W WASHINGTON ST
SOUTH BEND, IN46619-2320
Phone: 910-742-9243
Fax: 888-746-1787
Website:
Specialty Taxonomy Code
* Psychiatry 2084P0800X
Clinical 103TC0700X
Nurse Practitioner 363L00000X
Physician Assistant 363A00000X

* Indicates primary specialty

NPI Profile & details for LIFESOURCE OF NORTH CAROLINA

NPI Number 1295311595
Legal business name
LBN
LIFESOURCE OF NORTH CAROLINA
Authorized official PEGGY BADDOUR - (PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 03/18/2021
Last updated 03/18/2021 - About 5 years ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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