MS. LISA GAYLE VICKERY CAC1 LBSW NPI 1336406529

NPI Information

NPI: 1336406529
Provider Name: MS. LISA GAYLE VICKERY, CAC1, LBSW
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
1400 CLEVELAND ST
GREENVILLE, SC
ZIP 29607
Phone: (864) 467-3790
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MS. Lisa Gayle Vickery, CAC1, LBSW is an addiction (substance use disorder) counselor in Greenville, SC. MS. Lisa Gayle Vickery, CAC1, LBSW NPI is 1336406529. 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:

1400 CLEVELAND ST
GREENVILLE, SC
ZIP 29607-410
Phone: (864) 467-3790

The enumeration date for this NPI number is 4/12/2012 and was last updated on 4/12/2012.

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)	1068	SOUTH CAROLINA	No
2	101YA0400X	Counselor	Addiction (Substance Use Disorder)	1108266	SOUTH CAROLINA	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: 11/14/2023

NPI Synchronization or Removal

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