Provider Demographics
NPI:1760280911
Name:LAIPPLE, MARIA VICTORIA (LCAS-A)
Entity type:Individual
Prefix:
First Name:MARIA
Middle Name:VICTORIA
Last Name:LAIPPLE
Suffix:
Gender:
Credentials:LCAS-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:150 KATHLEEN TER
Mailing Address - Street 2:
Mailing Address - City:SANFORD
Mailing Address - State:NC
Mailing Address - Zip Code:27332-2360
Mailing Address - Country:US
Mailing Address - Phone:919-648-5298
Mailing Address - Fax:
Practice Address - Street 1:5841 US HWY 421 S. DAYMARK RECOVERY CENTER
Practice Address - Street 2:
Practice Address - City:LILLINGTON
Practice Address - State:NC
Practice Address - Zip Code:27546
Practice Address - Country:US
Practice Address - Phone:910-893-5727
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-04
Last Update Date:2025-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCLCAS-28847101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)