DR. OTHA EVERETT EDD CRC MHP NPI 1043755531

NPI Information

  • NPI: 1043755531
  • Provider Name: DR. OTHA EVERETT, EDD, CRC, MHP
  • Classification: Counselor - 101YP2500X
  • Specialization: Professional
  • Entity Type: Individual
  • Address: 733-B CARROLL STREET
    PERRY, GA
    ZIP 31069
  • Phone: (478) 224-2850

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NPI Details

DR. Otha Everett, EDD, CRC, MHP is a professional counselor in Perry, GA. DR. Otha Everett, EDD, CRC, MHP NPI is 1043755531. 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:

733-B CARROLL STREET
PERRY, GA
ZIP 31069
Phone: (478) 224-2850
Fax: (478) 224-2850

The enumeration date for this NPI number is 12/20/2016 and was last updated on 12/20/2016.

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
1101YP2500XCounselorProfessional00048259GEORGIAYes

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
100048259OTHERGEORGIAPROFESSIONAL COUNSELOR

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: 11/21/2025

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