Healthcare Provider Details

I. General information

NPI: 1013315985
Provider Name (Legal Business Name): LINDSAY ROMA LOPINA LMFTA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/09/2014
Last Update Date: 01/15/2025
Certification Date: 01/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

242 E BROAD ST
STATESVILLE NC
28677-5325
US

IV. Provider business mailing address

125 OVERHILL DR STE 105
MOORESVILLE NC
28117-8232
US

V. Phone/Fax

Practice location:
  • Phone: 804-309-2059
  • Fax:
Mailing address:
  • Phone: 980-430-9205
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number10024
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: