PATRICK W TANKERSLEY LCMHC NPI 1154416592

NPI Information

  • NPI: 1154416592
  • Provider Name: PATRICK W TANKERSLEY, LCMHC
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 180 WAR EAGLE DR
    MOCKSVILLE, NC
    ZIP 27028
  • Phone: (336) 751-5921

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NPI Details

Patrick W Tankersley, LCMHC is a mental health counselor in Mocksville, NC. Patrick W Tankersley, LCMHC NPI is 1154416592. 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:

180 WAR EAGLE DR
MOCKSVILLE, NC
ZIP 27028-151
Phone: (336) 751-5921

The NPI 1154416592 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 10/3/2006 and was last updated on 8/15/2023.

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
1101YP2500XCounselorProfessional002478MISSOURINo
2101YM0800XCounselorMental Health19116NORTH 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: 3/30/2025

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