MEDICARE: LAKEVIEW PROFESSIONAL COUNSELING, PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor

General Provider Information

NPI Number	:	1689548521
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LAKEVIEW PROFESSIONAL COUNSELING, PLLC

Provider Business Mailing Address
First Line	:	3643 LIBERTY DR
Second Line	:
City	:	BURLINGTON
State	:	NC
Zip	:	27215-9387
Country	:	US
Telephone Number	:	336-456-0444
Fax Number	:

Provider Business Practice Location Address
First Line	:	3643 LIBERTY DR
Second Line	:
City	:	BURLINGTON
State	:	NC
Zip	:	27215-9387
Country	:	US
Telephone Number	:	336-456-0444
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. CHRISTINE BORZUMATO-GAINEY
Credential	:	PHD. LCMHCS
Telephone Number	:	336-567-4107

Provider Enumeration Date	:	10/02/2025
Last Update Date	:	10/02/2025

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