CANDACE ROSE VIVAS MAC LPCA NPI 1518654466

NPI Information

NPI: 1518654466
Provider Name: CANDACE ROSE VIVAS, MAC, LPCA
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
12339 WAKE UNION CHURCH RD STE 111
WAKE FOREST, NC
ZIP 27587
Phone: (919) 867-0360
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Candace Rose Vivas, MAC, LPCA is a professional counselor in Wake Forest, NC. Candace Rose Vivas, MAC, LPCA NPI is 1518654466. 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:

12339 WAKE UNION CHURCH RD STE 111
WAKE FOREST, NC
ZIP 27587-512
Phone: (919) 867-0360
Fax: (877) 920-1934

The enumeration date for this NPI number is 4/20/2023 and was last updated on 4/20/2023.

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	101YP2500X	Counselor	Professional	8425	SOUTH CAROLINA	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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