ELTON L. SPADE L.C.S.W. NPI 1982880977

NPI Information

NPI: 1982880977
Provider Name: ELTON L. SPADE, L.C.S.W.
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
22446 SPICEWOOD DR
GOSHEN, IN
ZIP 46528
Phone: (574) 875-1917
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Elton L. Spade, L.C.S.W. is a mental health counselor in Goshen, IN. Elton L. Spade, L.C.S.W. NPI is 1982880977. 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:

22446 SPICEWOOD DR
GOSHEN, IN
ZIP 46528-156
Phone: (574) 875-1917

The enumeration date for this NPI number is 1/21/2008 and was last updated on 1/21/2008.

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	101YM0800X	Counselor	Mental Health	34003237A	INDIANA	Yes
2	101YM0800X	Counselor	Mental Health		MICHIGAN	No

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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