MANDY RANDALL LPC LCDC NPI 1316523749

NPI Information

NPI: 1316523749
Provider Name: MANDY RANDALL, LPC, LCDC
Classification: Counselor - 101Y00000X
Entity Type: Individual
Address:
18018 OVERLOOK LOOP
SUITE 105, PMB 1029
SAN ANTONIO, TX
ZIP 78259
Phone: (210) 595-9158
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Mandy Randall, LPC, LCDC is a counselor in San Antonio, TX. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. Mandy Randall, LPC, LCDC NPI is 1316523749. 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:

18018 OVERLOOK LOOP
SUITE 105, PMB 1029
SAN ANTONIO, TX
ZIP 78259-883
Phone: (210) 595-9158
Fax: (844) 832-4701

The enumeration date for this NPI number is 3/24/2021 and was last updated on 10/14/2021.

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	101YA0400X	Counselor	Addiction (Substance Use Disorder)	15052	TEXAS	No
2	101Y00000X	Counselor		79060	TEXAS	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: 4/28/2024

NPI Synchronization or Removal

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