EVAN PERGRIM COUNSELOR TRAINEE NPI 1194393488

NPI Information

NPI: 1194393488
Provider Name: EVAN PERGRIM, COUNSELOR TRAINEE
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
734 MAIN ST
WINTERSVILLE, OH
ZIP 43953
Phone: (724) 396-1510
Get Directions

Evan Pergrim, COUNSELOR TRAINEE is a mental health counselor in Wintersville, OH. Evan Pergrim, COUNSELOR TRAINEE NPI is 1194393488. 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:

734 MAIN ST
WINTERSVILLE, OH
ZIP 43953-800
Phone: (724) 396-1510
Fax: (724) 972-4627

The enumeration date for this NPI number is 6/14/2021 and was last updated on 7/21/2022.

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	101YP2500X	Counselor	Professional	C.2103296-TRNE	OHIO	No
2	101YM0800X	Counselor	Mental Health	C.2204456	OHIO	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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