Provider Demographics
NPI:1972565331
Name:SPELLS, LORI BRIANA EPPS (MD)
Entity Type:Individual
Prefix:DR
First Name:LORI
Middle Name:BRIANA EPPS
Last Name:SPELLS
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:417 N MAIN ST
Mailing Address - Street 2:CAROLINA COUNSELING AND CONSULTATION
Mailing Address - City:SALISBURY
Mailing Address - State:NC
Mailing Address - Zip Code:28144-4376
Mailing Address - Country:US
Mailing Address - Phone:704-636-5522
Mailing Address - Fax:704-636-5533
Practice Address - Street 1:417 N MAIN ST
Practice Address - Street 2:CAROLINA COUNSELING AND CONSULTATION
Practice Address - City:SALISBURY
Practice Address - State:NC
Practice Address - Zip Code:28144-4376
Practice Address - Country:US
Practice Address - Phone:704-636-5522
Practice Address - Fax:704-636-5533
Is Sole Proprietor?:No
Enumeration Date:2006-04-03
Last Update Date:2013-04-16
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC2002-001762084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC2005832BMedicare PIN