DANIEL E. HENDRICKS PH.D. ADC NPI 1851332621

NPI Information

NPI: 1851332621
Provider Name: DANIEL E. HENDRICKS, PH.D., ADC
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
1287 MARKS CHURCH RD
SUITE F
AUGUSTA, GA
ZIP 30909
Phone: (706) 481-8181
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Daniel E. Hendricks, PH.D., ADC is an addiction (substance use disorder) counselor in Augusta, GA. Daniel E. Hendricks, PH.D., ADC NPI is 1851332621. 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:

1287 MARKS CHURCH RD
SUITE F
AUGUSTA, GA
ZIP 30909-330
Phone: (706) 481-8181

The enumeration date for this NPI number is 6/10/2006 and was last updated on 7/8/2007.

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)	203	GEORGIA	Yes
2	103T00000X	Psychologist		973	GEORGIA	X

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	973	OTHER	GEORGIA	PSYCHOLOGY LICENSE
2	68BBBCC	MEDICARE ID-TYPE UNSPECIFIED
3	00472821B	MEDICAID	GEORGIA
4	R81853	MEDICARE UPIN	GEORGIA

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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