JOHN WIDENER LPC LMFT NPI 1467906537

NPI Information

NPI: 1467906537
Provider Name: JOHN WIDENER, LPC, LMFT
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

PECOS Registration: Yes

Address:
125 E MONROE ST
THOMASVILLE, GA
ZIP 31792
Phone: (678) 577-8795
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John Widener, LPC, LMFT is a mental health counselor in Thomasville, GA. John Widener, LPC, LMFT NPI is 1467906537. 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:

125 E MONROE ST
THOMASVILLE, GA
ZIP 31792-142
Phone: (678) 577-8795
Fax: (404) 860-2111

The NPI 1467906537 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 8/6/2016 and was last updated on 1/25/2022.

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	106H00000X	Marriage & Family Therapist		MFT001705	GEORGIA	No
2	101YM0800X	Counselor	Mental Health	LPC011205	GEORGIA	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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