WILLIAM MICHAEL GOUDELOCK LPC LCAS NPI 1376605915

NPI Information

NPI: 1376605915
Provider Name: WILLIAM MICHAEL GOUDELOCK, LPC LCAS
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
1013B WEST AVE NW
LENOIR, NC
ZIP 28645
Phone: (828) 572-1636
Get Directions

William Michael Goudelock, LPC LCAS is a mental health counselor in Lenoir, NC. William Michael Goudelock, LPC LCAS NPI is 1376605915. 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:

1013B WEST AVE NW
LENOIR, NC
ZIP 28645-126
Phone: (828) 572-1636
Fax: (828) 572-1637

The enumeration date for this NPI number is 12/13/2006 and was last updated on 10/22/2008.

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)	943	NORTH CAROLINA	No
2	101YM0800X	Counselor	Mental Health	5495	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	6111785	MEDICAID	NORTH CAROLINA

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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