MR. GLENN PAUL BOONE M.DIV. NPI 1922194034

NPI Information

NPI: 1922194034
Provider Name: MR. GLENN PAUL BOONE, M.DIV.
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
7600 BURNET RD STE 320
AUSTIN, TX
ZIP 78757
Phone: (512) 451-8818
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MR. Glenn Paul Boone, M.DIV. is an addiction (substance use disorder) counselor in Austin, TX. MR. Glenn Paul Boone, M.DIV. NPI is 1922194034. 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:

7600 BURNET RD STE 320
AUSTIN, TX
ZIP 78757-268
Phone: (512) 451-8818
Fax: (512) 452-0295

The enumeration date for this NPI number is 10/5/2006 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)	3157	TEXAS	Yes
2	101YP2500X	Counselor	Professional	11288	TEXAS	X
3	101YP2500X	Counselor	Professional	2139	NORTH CAROLINA	X
4	101YP2500X	Counselor	Professional	2075	LOUISIANA	X
5	106H00000X	Marriage & Family Therapist		2683-002737	TEXAS	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	2683-002737	OTHER	TEXAS	LMFT LICENSE
2	11288	OTHER	TEXAS	LPC LICENSE
3	3157	OTHER	TEXAS	LCDC LICENSE

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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