Provider Demographics
NPI:1891572467
Name:SEVEN HILLS PSYCHIATRY AND BEHAVIORAL HEALTH SERVICES, PLLC
Entity Type:Organization
Organization Name:SEVEN HILLS PSYCHIATRY AND BEHAVIORAL HEALTH SERVICES, PLLC
Other - Org Name:SEVEN HILLS PSYCHIATRY AND BEHAVIORAL HEALTH SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PMHNP-BC
Authorized Official - Prefix:
Authorized Official - First Name:LAKSHMI
Authorized Official - Middle Name:
Authorized Official - Last Name:GANUGAPENTA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:989-760-1026
Mailing Address - Street 1:1000 COPPERFIELD BLVD NE
Mailing Address - Street 2:
Mailing Address - City:CONCORD
Mailing Address - State:NC
Mailing Address - Zip Code:28025-2453
Mailing Address - Country:US
Mailing Address - Phone:989-760-1026
Mailing Address - Fax:
Practice Address - Street 1:1000 COPPERFIELD BLVD NE
Practice Address - Street 2:
Practice Address - City:CONCORD
Practice Address - State:NC
Practice Address - Zip Code:28025-2453
Practice Address - Country:US
Practice Address - Phone:989-760-1026
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-08
Last Update Date:2023-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Multi-Specialty