ERIC WOODARD LAC NPI 1144264391

NPI Information

NPI: 1144264391
Provider Name: ERIC WOODARD, LAC
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
200 HIGHWAY 2 W
DEVILS LAKE, ND
ZIP 58301
Phone: (701) 665-2200
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Eric Woodard, LAC is an addiction (substance use disorder) counselor in Devils Lake, ND. Eric Woodard, LAC NPI is 1144264391. 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:

200 HIGHWAY 2 W
DEVILS LAKE, ND
ZIP 58301-532
Phone: (701) 665-2200
Fax: (701) 665-2300

The enumeration date for this NPI number is 6/16/2006 and was last updated on 7/19/2007.

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	104100000X	Social Worker		1518	NORTH DAKOTA	No
2	101YA0400X	Counselor	Addiction (Substance Use Disorder)	1374	NORTH DAKOTA	Yes

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	054518	MEDICAID	NORTH DAKOTA
2	012458	OTHER	NORTH DAKOTA	BCBS PIN

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: 4/28/2024

NPI Synchronization or Removal

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