MS. WANDA RUTH ECKERSLEY LPC NPI 1578615449

NPI Information

NPI: 1578615449
Provider Name: MS. WANDA RUTH ECKERSLEY, LPC
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
2006 BROADWAY ST
SUITE 104
PEARLAND, TX
ZIP 77581
Phone: (281) 992-3300
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MS. Wanda Ruth Eckersley, LPC is a professional counselor in Pearland, TX. MS. Wanda Ruth Eckersley, LPC NPI is 1578615449. 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:

2006 BROADWAY ST
SUITE 104
PEARLAND, TX
ZIP 77581-564
Phone: (281) 992-3300
Fax: (281) 996-0261

The enumeration date for this NPI number is 1/18/2007 and was last updated on 9/21/2014.

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	17422	TEXAS	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	1490393-02	MEDICAID	TEXAS
2	6070 LC	OTHER	TEXAS	BLUE CROSS BLUE SHIELD

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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