Healthcare Provider Details
I. General information
NPI: 1013064682
Provider Name (Legal Business Name): LECHRIS COUNSELING SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 01/04/2007
Last Update Date: 09/25/2023
Certification Date: 09/25/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3332 BRIDGES ST STE A
MOREHEAD CITY NC
28557-3296
US
IV. Provider business mailing address
3332 BRIDGES ST SUITE A
MOREHEAD CITY NC
28557-3296
US
V. Phone/Fax
- Phone: 252-726-9006
- Fax: 252-726-4325
- Phone: 252-726-9006
- Fax: 252-726-4325
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101Y00000X |
| Taxonomy | Counselor |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2084P0800X |
| Taxonomy | Psychiatry Physician |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 251S00000X |
| Taxonomy | Community/Behavioral Health Agency |
| License Number | |
| License Number State | |
| # 4 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363LP0808X |
| Taxonomy | Psychiatric/Mental Health Nurse Practitioner |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
SARAH
H
SCHWARZ
Title or Position: VP
Credential: MS
Phone: 252-636-6105