MR. LARRY DALE DEYTON LPC NPI 1063554913

NPI Information

NPI: 1063554913
Provider Name: MR. LARRY DALE DEYTON, LPC
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
30 OMEN CIR
#7132
ELLIJAY, GA
ZIP 30540
Phone: (706) 633-3215
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MR. Larry Dale Deyton, LPC is a professional counselor in Ellijay, GA. MR. Larry Dale Deyton, LPC NPI is 1063554913. 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:

30 OMEN CIR
#7132
ELLIJAY, GA
ZIP 30540-664
Phone: (706) 633-3215
Fax: (706) 698-5525

The enumeration date for this NPI number is 2/13/2007 and was last updated on 7/8/2007.

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	101YP2500X	Counselor	Professional	LPC001871	GEORGIA	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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