KENNETH MEDLOCK LCDC CEAP NPI 1396458899

NPI Information

  • NPI: 1396458899
  • Provider Name: KENNETH MEDLOCK, LCDC, CEAP
  • Classification: Counselor - 101YA0400X
  • Specialization: Addiction (Substance Use Disorder)
  • Entity Type: Individual
  • Address: 9950 TOWN PARK DR APT 1202
    HOUSTON, TX
    ZIP 77036
  • Phone: (832) 754-8001

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NPI Details

Kenneth Medlock, LCDC, CEAP is an addiction (substance use disorder) counselor in Houston, TX. Kenneth Medlock, LCDC, CEAP NPI is 1396458899. 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:

9950 TOWN PARK DR APT 1202
HOUSTON, TX
ZIP 77036-356
Phone: (832) 754-8001

The enumeration date for this NPI number is 12/29/2022 and was last updated on 12/29/2022.

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
1101YP2500XCounselorProfessional33084TEXASNo
2101YA0400XCounselorAddiction (Substance Use Disorder)5845TEXASYes

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

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