IDA ROSE WADSWORTH LPC NPI 1104329259

NPI Information

NPI: 1104329259
Provider Name: IDA ROSE WADSWORTH, LPC
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
206 4TH ST SW
FORT PAYNE, AL
ZIP 35967
Phone: (256) 304-5755
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Ida Rose Wadsworth, LPC is a professional counselor in Fort Payne, AL. Ida Rose Wadsworth, LPC NPI is 1104329259. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

206 4TH ST SW
FORT PAYNE, AL
ZIP 35967-851
Phone: (256) 304-5755

The enumeration date for this NPI number is 3/15/2018 and was last updated on 2/21/2021.

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	101YP2500X	Counselor	Professional	3953	ALABAMA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	32053719	MEDICAID	ALABAMA

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: 11/14/2023

NPI Synchronization or Removal

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