LEROY WILSON GLENN LCAS NPI 1831243054

NPI Information

NPI: 1831243054
Provider Name: LEROY WILSON GLENN, LCAS
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
220 EAST FIRST AVENUE EXTENSION
SUITE 10
LEXINGTON, NC
ZIP 27292
Phone: (336) 242-2450
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Leroy Wilson Glenn, LCAS is an addiction (substance use disorder) counselor in Lexington, NC. Leroy Wilson Glenn, LCAS NPI is 1831243054. 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:

220 EAST FIRST AVENUE EXTENSION
SUITE 10
LEXINGTON, NC
ZIP 27292-355
Phone: (336) 242-2450
Fax: (336) 249-9920

The enumeration date for this NPI number is 1/23/2007 and was last updated on 7/8/2007.

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)	688	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	688	OTHER	NORTH CAROLINA	LCAS

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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