MICHAEL KEITH WADE LPC-S NPI 1053741173

NPI Information

NPI: 1053741173
Provider Name: MICHAEL KEITH WADE, LPC-S
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

PECOS Registration: Yes

Address:
2104 E YANDELL DR STE 9
EL PASO, TX
ZIP 79903
Phone: (915) 277-0300
Get Directions

Michael Keith Wade, LPC-S is a professional counselor in El Paso, TX. Michael Keith Wade, LPC-S NPI is 1053741173. 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:

2104 E YANDELL DR STE 9
EL PASO, TX
ZIP 79903-517
Phone: (915) 277-0300

The NPI 1053741173 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS).

The enumeration date for this NPI number is 11/27/2013 and was last updated on 8/27/2022.

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	101Y00000X	Counselor		68877	TEXAS	No
2	101YA0400X	Counselor	Addiction (Substance Use Disorder)	68877	TEXAS	No
3	101YM0800X	Counselor	Mental Health	68877	TEXAS	No
4	101YP2500X	Counselor	Professional	68877	TEXAS	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: 4/28/2024

NPI Synchronization or Removal

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