BRUCE WILKS LADAC NPI 1376389882

NPI Information

  • NPI: 1376389882
  • Provider Name: BRUCE WILKS, LADAC
  • Classification: Counselor - 101YA0400X
  • Specialization: Addiction (Substance Use Disorder)
  • Entity Type: Individual
  • Address: 793 TENNESSEE ST
    BOLIVAR, TN
    ZIP 38008
  • Phone: (731) 228-9068

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NPI Details

Bruce Wilks, LADAC is an addiction (substance use disorder) counselor in Bolivar, TN. Bruce Wilks, LADAC NPI is 1376389882. 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:

793 TENNESSEE ST
BOLIVAR, TN
ZIP 38008-441
Phone: (731) 228-9068
Fax: (901) 425-9773

The enumeration date for this NPI number is 7/3/2024 and was last updated on 7/3/2024.

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
1101YA0400XCounselorAddiction (Substance Use Disorder)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: 3/30/2025

NPI Synchronization or Removal

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