LOLA MARIE BOOTH LADC NPI 1093480949

NPI Information

NPI: 1093480949
Provider Name: LOLA MARIE BOOTH, LADC
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
921 8TH ST SE
DETROIT LAKES, MN
ZIP 56501
Phone: (218) 844-9730
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Lola Marie Booth, LADC is an addiction (substance use disorder) counselor in Detroit Lakes, MN. Lola Marie Booth, LADC NPI is 1093480949. The provider is registered as an individual entity type and is a single specialty group.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

921 8TH ST SE
DETROIT LAKES, MN
ZIP 56501-840
Phone: (218) 844-9730

The enumeration date for this NPI number is 8/12/2021 and was last updated on 10/3/2021.

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)	305800	MINNESOTA	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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