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ST LAZARUS BEHAVIORAL HEALTH PC NPI 1417464900


NPI Information

NPI: 1417464900
Provider Name: ST LAZARUS BEHAVIORAL HEALTH PC
Classification: Psychiatry & Neurology - 2084P0800X
Entity Type: Organization

Specialization: Psychiatry

CLIA Number: 34D2149968

Address:
8401 MEDICAL PLAZA DR STE 355
CHARLOTTE, NC
ZIP 28262
Phone: (877) 624-5802
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ST LAZARUS BEHAVIORAL HEALTH PC is a psychiatry psychiatry neurology in Charlotte, NC. The provider is 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. ST LAZARUS BEHAVIORAL HEALTH PC NPI is 1417464900. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

8401 MEDICAL PLAZA DR STE 355
CHARLOTTE, NC
ZIP 28262-718
Phone: (877) 624-5802
Fax: (888) 974-1542

The provider's authorized official is Meketa Deans .
The authorized official title is Practice Manager and has the following contact phone number (877) 624-5802.

The CLIA number assigned to this NPI record is 34D2149968 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/5/2018 and was last updated on 11/27/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12084P0800XPsychiatry & NeurologyPsychiatryYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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