Provider Demographics
NPI:1689548521
Name:LAKEVIEW PROFESSIONAL COUNSELING, PLLC
Entity type:Organization
Organization Name:LAKEVIEW PROFESSIONAL COUNSELING, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTINE
Authorized Official - Middle Name:
Authorized Official - Last Name:BORZUMATO-GAINEY
Authorized Official - Suffix:
Authorized Official - Credentials:PHD LCMHCS
Authorized Official - Phone:336-567-4107
Mailing Address - Street 1:3643 LIBERTY DR
Mailing Address - Street 2:
Mailing Address - City:BURLINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:27215-9387
Mailing Address - Country:US
Mailing Address - Phone:336-456-0444
Mailing Address - Fax:
Practice Address - Street 1:3643 LIBERTY DR
Practice Address - Street 2:
Practice Address - City:BURLINGTON
Practice Address - State:NC
Practice Address - Zip Code:27215-9387
Practice Address - Country:US
Practice Address - Phone:336-456-0444
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-10-02
Last Update Date:2025-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty