Healthcare Provider Details

I. General information

NPI: 1548011224
Provider Name (Legal Business Name): LMC PSYCHIATRIC SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/29/2024
Last Update Date: 06/20/2025
Certification Date: 06/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

551 NEW RD STE C
SOMERS POINT NJ
08244-2020
US

IV. Provider business mailing address

2 WHITE OAK DR
EGG HARBOR TOWNSHIP NJ
08234-8712
US

V. Phone/Fax

Practice location:
  • Phone: 908-309-6059
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: LAURA MCCARTHY
Title or Position: PSYCHIATRIC NURSE PRACTITIONER
Credential: APN
Phone: 908-309-6059