RODERICK ELI BRANSCOME LPCS LCAS NPI 1730375577

NPI Information

NPI: 1730375577
Provider Name: RODERICK ELI BRANSCOME, LPCS, LCAS
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
1801 E FIFTH ST STE 212
CHARLOTTE, NC
ZIP 28204
Phone: (704) 661-1429
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Roderick Eli Branscome, LPCS, LCAS is a professional counselor in Charlotte, NC. Roderick Eli Branscome, LPCS, LCAS NPI is 1730375577. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1801 E FIFTH ST STE 212
CHARLOTTE, NC
ZIP 28204-400
Phone: (704) 661-1429

The enumeration date for this NPI number is 9/14/2007 and was last updated on 12/2/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	2592	NORTH CAROLINA	No
2	101YP2500X	Counselor	Professional	5079	SOUTH CAROLINA	No
3	101YP2500X	Counselor	Professional	7077	NORTH CAROLINA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	46-5335903	OTHER	NORTH CAROLINA	EIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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