THEA WOOTEN MA LCASA NPI 1083155154

NPI Information

  • NPI: 1083155154
  • Provider Name: THEA WOOTEN, MA, LCASA
  • Classification: Counselor - 101YA0400X
  • Specialization: Addiction (Substance Use Disorder)
  • Entity Type: Individual
  • Address: 612 SIGNAL HILL DRIVE EXT
    STATESVILLE, NC
    ZIP 28625
  • Phone: (704) 872-0234

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NPI Details

Thea Wooten, MA, LCASA is an addiction (substance use disorder) counselor in Statesville, NC. Thea Wooten, MA, LCASA NPI is 1083155154. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

612 SIGNAL HILL DRIVE EXT
STATESVILLE, NC
ZIP 28625-353
Phone: (704) 872-0234

The enumeration date for this NPI number is 3/9/2017 and was last updated on 3/9/2017.

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
1101YA0400XCounselorAddiction (Substance Use Disorder)23390NORTH CAROLINAYes

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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