Provider Demographics
NPI:1013448141
Name:LEMMOND, DAVID SR (LPCA, LCASA)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:
Last Name:LEMMOND
Suffix:SR
Gender:M
Credentials:LPCA, LCASA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3448 EVA DRIVE
Mailing Address - Street 2:
Mailing Address - City:CONCORD
Mailing Address - State:NC
Mailing Address - Zip Code:28027-5544
Mailing Address - Country:US
Mailing Address - Phone:704-795-0733
Mailing Address - Fax:
Practice Address - Street 1:32 HICKORY ST
Practice Address - Street 2:
Practice Address - City:BADIN
Practice Address - State:NC
Practice Address - Zip Code:28009
Practice Address - Country:US
Practice Address - Phone:704-463-0300
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-03-21
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCLCAS-22758101YA0400X
NCA12943101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)