TIM LAO CSCS
NPI 1073268702
Prevention Professional in Charlotte, NC

Active since February 22, 2022
4651 CHARLOTTE PARK DR STE 300, CHARLOTTE, NC 28217(704) 529-6161 Get Directions Write a Review

NPPES record last updated: February 22, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Tim Lao Cscs NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TIM LAO CSCS (NPI 1073268702) is an individual prevention professional provider in Charlotte, North Carolina, licensed in Georgia (200217169) and active in the NPI registry since February 2022. He maintains a secondary practice location in Buford.

NPPES Registry Identity

NPI1073268702
Entity TypeIndividualMale
Primary Taxonomy405300000X
Provider Legal NameTIM LAOCredential: CSCS
Location Address4651 CHARLOTTE PARK DR STE 300Charlotte, NC 28217-1916
Mailing Address4651 Charlotte Park Dr Ste 300Charlotte, NC 28217-1916 · (704) 529-6161
Sole ProprietorNo
Enumeration DateFebruary 22, 2022
NPPES CertifiedFebruary 22, 2022
NPI 1073268702 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPrevention ProfessionalOther Service Providers
Taxonomy Code405300000X
License Licensed in GA · 200217169
Definition

Prevention Professionals work in programs aimed to address specific patient needs, such as suicide prevention, violence prevention, alcohol avoidance, drug avoidance, and tobacco prevention. The goal of the program is to reduce the risk of relapse, injury, or re-injury of the patient. Prevention Professionals work in a variety of settings and provide appropriate case management, mediation, referral, and mentorship services. Individuals complete prevention professionals training for the population of patients with whom they work.

4651 CHARLOTTE PARK DR STE 300, Charlotte, NC 28217

Secondary Practice Location 1

Location 1739 Roxholly LnBuford, GA 30518-8533 · Phone (678) 895-4382

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Health Educator
4651 CHARLOTTE PARK DR STE 300
CHARLOTTE, NC 28217
Health Educator
4651 CHARLOTTE PARK DR STE 300
CHARLOTTE, NC 28217
Health Educator
4651 CHARLOTTE PARK DR STE 300
CHARLOTTE, NC 28217
Health Educator
4651 CHARLOTTE PARK DR STE 300
CHARLOTTE, NC 28217
Health Educator
4651 CHARLOTTE PARK DR STE 300
CHARLOTTE, NC 28217

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1073268702, enumerated as an "individual" on February 22, 2022.

The provider is located at 4651 CHARLOTTE PARK DR STE 300 CHARLOTTE, NC 28217 and the phone number is (704) 529-6161.

Prevention Professional with taxonomy code 405300000X.