DWIGHT A PORTER LPC NPI 1194158220

NPI Information

NPI: 1194158220
Provider Name: DWIGHT A PORTER, LPC
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

PECOS Registration: Yes

Address:
4405 MALL BLVD
SUITE 200
UNION CITY, GA
ZIP 30291
Phone: (770) 969-4309
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Dwight A Porter, LPC is a professional counselor in Union City, GA. Dwight A Porter, LPC NPI is 1194158220. 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:

4405 MALL BLVD
SUITE 200
UNION CITY, GA
ZIP 30291-044
Phone: (770) 969-4309
Fax: (770) 969-4170

The NPI 1194158220 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 8/13/2013 and was last updated on 8/13/2013.

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	006366	GEORGIA	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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