MELVIN SCOTT VANDENBURG MA MBA LPC LCDC NPI 1093216038

NPI Information

NPI: 1093216038
Provider Name: MELVIN SCOTT VANDENBURG, MA, MBA, LPC, LCDC
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
4405 PADRE BLVD
SOUTH PADRE ISLAND, TX
ZIP 78597
Phone: (956) 772-9200
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Melvin Scott Vandenburg, MA, MBA, LPC, LCDC is a professional counselor in South Padre Island, TX. Melvin Scott Vandenburg, MA, MBA, LPC, LCDC NPI is 1093216038. 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:

4405 PADRE BLVD
SOUTH PADRE ISLAND, TX
ZIP 78597-324
Phone: (956) 772-9200

The enumeration date for this NPI number is 2/26/2018 and was last updated on 8/16/2023.

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)			No
2	101YP2500X	Counselor	Professional	79126	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: 5/5/2024

NPI Synchronization or Removal

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