ROSE OBAZE LPC LCDC NPI 1912168337

NPI Information

NPI: 1912168337
Provider Name: ROSE OBAZE, LPC, LCDC
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

PECOS Registration: Yes

Address:
407 N CEDAR RIDGE DR STE 227
DUNCANVILLE, TX
ZIP 75116
Phone: (214) 460-4285
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Rose Obaze, LPC, LCDC is a professional counselor in Duncanville, TX. Rose Obaze, LPC, LCDC NPI is 1912168337. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

407 N CEDAR RIDGE DR STE 227
DUNCANVILLE, TX
ZIP 75116-169
Phone: (214) 460-4285
Fax: (972) 709-1848

The NPI 1912168337 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 6/18/2008 and was last updated on 7/6/2023.

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)	4220	TEXAS	No
2	101YP2500X	Counselor	Professional	13926	TEXAS	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	0957664-04	MEDICAID	TEXAS

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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