Provider Demographics
NPI:1881961019
Name:SAVAGE, LORIE (LCAS)
Entity type:Individual
Prefix:
First Name:LORIE
Middle Name:
Last Name:SAVAGE
Suffix:
Gender:F
Credentials:LCAS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2745 CRESSET DR
Mailing Address - Street 2:
Mailing Address - City:WINTERVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28590-6602
Mailing Address - Country:US
Mailing Address - Phone:252-531-8712
Mailing Address - Fax:
Practice Address - Street 1:2745 CRESSET DR
Practice Address - Street 2:
Practice Address - City:WINTERVILLE
Practice Address - State:NC
Practice Address - Zip Code:28590-6602
Practice Address - Country:US
Practice Address - Phone:252-531-8712
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-16
Last Update Date:2023-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCHC7097251E00000X
NC2296101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC2296OtherLCAS LICENSE