LIFESOURCE OF NORTH CAROLINA
NPI 1730648288
Psychologist in Milton, FL

Active since March 14, 2019
5530 NORTHROP RD, MILTON, FL 32570(910) 742-9243 Get Directions Write a Review

NPPES record last updated: March 25, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 25, 2021, Mar 14, 2019 (2 updates tracked since 2019).

About Lifesource Of North Carolina NPPES

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

LIFESOURCE OF NORTH CAROLINA (NPI 1730648288) is a healthcare organization registered as a psychologist in Milton, Florida and active in the NPI registry since March 2019. The organization lists Peggy Baddour, President, as its authorized official.

NPPES Registry Identity

NPI1730648288
Entity TypeOrganization
Primary Taxonomy103T00000X
Legal Business NameLIFESOURCE OF NORTH CAROLINA
Location Address5530 NORTHROP RDMilton, FL 32570-8701
Mailing AddressPo Box 538622Atlanta, GA 30353-8622 · (910) 794-4521
Organization SubpartNo
Authorized OfficialPeggy BaddourPresident · (910) 777-9165
Enumeration DateMarch 14, 2019
Last NPPES UpdateMarch 25, 20212 updates tracked since enumeration
NPPES CertifiedMarch 25, 2021
NPI 1730648288 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
Definition
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.
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X
Also ListedPhysician AssistantTaxonomy 363A00000X
Also ListedNurse PractitionerTaxonomy 363L00000X
5530 NORTHROP RD, Milton, FL 32570

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

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.

Clinic/Center (Rehabilitation)
5530 NORTHROP RD
MILTON, FL 32570
Nurse Practitioner
5530 NORTHROP RD
MILTON, FL 32570
Nurse Practitioner (Psychiatric/Mental Health)
5530 NORTHROP RD
MILTON, FL 32570
Psychologist (Clinical)
5530 NORTHROP RD
MILTON, FL 32570
Nurse Practitioner (Gerontology)
5530 NORTHROP RD
MILTON, FL 32570

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 Lifesource Of North Carolina's NPI number?

The NPI number for Lifesource Of North Carolina is 1730648288. It was assigned to this organization in the NPPES registry on March 14, 2019.

Where is Lifesource Of North Carolina located?

Lifesource Of North Carolina is located at 5530 Northrop Rd, Milton, FL 32570. The listed phone number is (910) 742-9243.

What is Lifesource Of North Carolina's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

What insurance does Lifesource Of North Carolina accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Lifesource Of North Carolina as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Lifesource Of North Carolina was last updated on March 25, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.