Provider Demographics
NPI:1205594496
Name:LWC THERAPIES PLLC
Entity type:Organization
Organization Name:LWC THERAPIES PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:BYRON
Authorized Official - Middle Name:REESE
Authorized Official - Last Name:WELLS
Authorized Official - Suffix:
Authorized Official - Credentials:LCMHC
Authorized Official - Phone:336-817-7713
Mailing Address - Street 1:300 YOUNGS COVE RD
Mailing Address - Street 2:
Mailing Address - City:CANDLER
Mailing Address - State:NC
Mailing Address - Zip Code:28715-9312
Mailing Address - Country:US
Mailing Address - Phone:828-782-3304
Mailing Address - Fax:828-544-1201
Practice Address - Street 1:300 YOUNGS COVE RD
Practice Address - Street 2:
Practice Address - City:CANDLER
Practice Address - State:NC
Practice Address - Zip Code:28715-9312
Practice Address - Country:US
Practice Address - Phone:828-782-3304
Practice Address - Fax:828-544-1201
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-12-04
Last Update Date:2022-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health