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Lakeitha Gaston
Peer Specialist in Mooresville, North Carolina
NPI 1487235313

Lakeitha Gaston is a Peer Specialist based in Mooresville, NC. Lakeitha Gaston practices in Mooresville, NC. The NPI Number for Lakeitha Gaston is 1487235313 and holds a License No. (North Carolina).

The current practice location address for Lakeitha Gaston is 123 Professional Park Dr Ste 101, Mooresville, NC and can be reached out via phone at 704-749-9560. You can also correspond with Lakeitha Gaston through the mailing address at 123 PROFESSIONAL PARK DR STE 101, MOORESVILLE, NC - 28117-5516 (mailing address contact number: ).

Location: 123 Professional Park Dr Ste 101, Mooresville, NC, 28117-5516
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1487235313
Provider Name
Lakeitha Gaston
Credential
Provider Entity Type
Individual
Gender
Female
Address
123 Professional Park Dr Ste 101, Mooresville, NC, 28117-5516
Phone Number
704-749-9560
Fax Number
Provider Enumeration Date
04/21/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
123 Professional Park Dr Ste 101
City
Mooresville
State
North Carolina
Zip
28117-5516
Phone Number
704-749-9560
Fax Number
person
Provider Business Mailing Address Details
Address
123 Professional Park Dr Ste 101
City
Mooresville
State
North Carolina
Zip
28117-5516
Phone Number
704-749-9560
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
()
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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