MARK ANTHONY WADDELL LPCA NPI 1952863904

NPI Information

NPI: 1952863904
Provider Name: MARK ANTHONY WADDELL, LPCA
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
189 SAMARITANS RIDGE RD STE 104
ELKIN, NC
ZIP 28621
Phone: (336) 827-0089
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Mark Anthony Waddell, LPCA is an addiction (substance use disorder) counselor in Elkin, NC. Mark Anthony Waddell, LPCA NPI is 1952863904. The provider is registered as an individual entity type and is a single specialty group.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

189 SAMARITANS RIDGE RD STE 104
ELKIN, NC
ZIP 28621-472
Phone: (336) 827-0089

The enumeration date for this NPI number is 4/1/2019 and was last updated on 9/11/2019.

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	A14667	NORTH CAROLINA	No
2	101YA0400X	Counselor	Addiction (Substance Use Disorder)	LCAS-24872	NORTH 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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