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LAKE NORMAN INTEGRATIVE PSYCHIATRY
NPI 1174738520
Clinic/Center - Medical Specialty in Mooresville, NC

Active since May 11, 2007
116 S MAIN ST STE 301, MOORESVILLE, NC 28115(704) 662-3200(704) 662-1247 Get Directions Write a Review

NPPES record last updated: October 3, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lake Norman Integrative Psychiatry NPPES

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

LAKE NORMAN INTEGRATIVE PSYCHIATRY (NPI 1174738520) is a healthcare organization registered as a medical specialty in Mooresville, North Carolina and active in the NPI registry since May 2007. The organization lists Tracy Thompson Latz, Sole Owner, as its authorized official.

NPPES Registry Identity

NPI1174738520
Entity TypeOrganization
Primary Taxonomy261QM2500X
Legal Business NameLAKE NORMAN INTEGRATIVE PSYCHIATRY
Location Address116 S MAIN ST STE 301Mooresville, NC 28115-2373
Mailing Address116 S Main St Ste 301, P.o. Box 1247Mooresville, NC 28115-2373 · (704) 662-3200 · Fax (704) 662-8731
Phone(704) 662-3200
Fax(704) 662-1247
Organization SubpartNo
Authorized OfficialTracy Thompson LatzSole Owner · (704) 662-3200
Enumeration DateMay 11, 2007
Last NPPES UpdateOctober 3, 2007
✔ NPI 1174738520 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Medical SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM2500X
License✔ Licensed in NC · 34660
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
116 S MAIN ST STE 301, Mooresville, NC 28115
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Other Identifiers 4

Other1407879851NC · Dr Latz Npi Number
Medicaid7951148NC
Medicare UPINF19771NC
Medicare ID-Type Unspecified2168522C NCNC · Dr Latz Mcare Number

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lake Norman Integrative Psychiatry's NPI number?

The NPI number for Lake Norman Integrative Psychiatry is 1174738520. It was assigned to this organization in the NPPES registry on May 11, 2007.

Where is Lake Norman Integrative Psychiatry located?

Lake Norman Integrative Psychiatry is located at 116 S Main St Ste 301, Mooresville, NC 28115. The listed phone number is (704) 662-3200.

What is Lake Norman Integrative Psychiatry's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

When was this NPI record last updated?

The NPPES record for Lake Norman Integrative Psychiatry was last updated on October 3, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.