MR. BRENT PARKER TANKSLEY LCDC NPI 1871004507

NPI Information

NPI: 1871004507
Provider Name: MR. BRENT PARKER TANKSLEY, LCDC
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
1501C S WHEELER ST
JASPER, TX
ZIP 75951
Phone: (409) 622-9252
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MR. Brent Parker Tanksley, LCDC is an addiction (substance use disorder) counselor in Jasper, TX. MR. Brent Parker Tanksley, LCDC NPI is 1871004507. 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:

1501C S WHEELER ST
JASPER, TX
ZIP 75951-103
Phone: (409) 622-9252

The enumeration date for this NPI number is 10/20/2017 and was last updated on 11/29/2021.

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)	13677	TEXAS	Yes

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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