MR. LARRY SHANE WYATT LPC NPI 1285027003

NPI Information

  • NPI: 1285027003
  • Provider Name: MR. LARRY SHANE WYATT, LPC
  • Classification: Counselor - 101YP2500X
  • Specialization: Professional
  • Entity Type: Individual
  • Address: 261 YVONNE AVE
    CROSSVILLE, TN
    ZIP 38555
  • Phone: (931) 456-2859

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NPI Details

MR. Larry Shane Wyatt, LPC is a professional counselor in Crossville, TN. MR. Larry Shane Wyatt, LPC NPI is 1285027003. 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:

261 YVONNE AVE
CROSSVILLE, TN
ZIP 38555-735
Phone: (931) 456-2859
Fax: (931) 707-8921

The enumeration date for this NPI number is 3/18/2015 and was last updated on 3/18/2015.

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
1101YP2500XCounselorProfessional3239TENNESSEEYes

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

NPI Synchronization or Removal

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