TERRY GLEN JORDAN MS LPC NPI 1063008712

NPI Information

NPI: 1063008712
Provider Name: TERRY GLEN JORDAN, MS, LPC
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
500 LAKE ST STE B
LAKE PROVIDENCE, LA
ZIP 71254
Phone: (318) 552-5016
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Terry Glen Jordan, MS, LPC is a mental health counselor in Lake Providence, LA. Terry Glen Jordan, MS, LPC NPI is 1063008712. 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:

500 LAKE ST STE B
LAKE PROVIDENCE, LA
ZIP 71254-550
Phone: (318) 552-5016

The enumeration date for this NPI number is 12/16/2020 and was last updated on 7/5/2023.

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	8116	LOUISIANA	No
2	101YM0800X	Counselor	Mental Health	8116	LOUISIANA	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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