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34D2060726 CLIA NUMBER - CAROLINAS REHABILITATION NORTHEAST

Laboratory Demographics

CLIA Number: 34D2060726

Facility Name: CAROLINAS REHABILITATION NORTHEAST

Facility Address:
487 LAKE CONCORD ROAD NE
CONCORD, NC
ZIP 28025
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Facility Phone Number: 704 425-9994

Facility Type: Other - REHABILITATION FACILITY

Certificate Type: Waiver
NPI Number: 1891193918

Taxonomy: 103T00000X - Psychologist
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

CLIA Record

Field Name Field Value
CLIA Number 34D2060726
LAB Type Other - REHABILITATION FACILITY
Facility Name CAROLINAS REHABILITATION NORTHEAST
Street 487 LAKE CONCORD ROAD NE
City CONCORD
State NC
ZIP 28025
Phone 704 425-9994
CertificateType 4
CertificateEffectiveDate 6/17/2023
CertificateExpirationDate 6/16/2025
FacilityType Waiver

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This page was last updated on: 4/23/2024