DR. STEPHEN LAWRENCE REGO NPI 1376021501

NPI Information

NPI: 1376021501
Provider Name: DR. STEPHEN LAWRENCE REGO
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

CLIA Number: 44D0306728

Address:
CONNECT COUNSELING CENTER, LLC
840 PROFESSIONAL PARK DR
CLARKSVILLE, TN
ZIP 37040
Phone: (931) 614-7397
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DR. Stephen Lawrence Rego is a mental health counselor in Clarksville, TN. DR. Stephen Lawrence Rego NPI is 1376021501. 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:

CONNECT COUNSELING CENTER, LLC
840 PROFESSIONAL PARK DR
CLARKSVILLE, TN
ZIP 37040
Phone: (931) 614-7397

The CLIA number assigned to this NPI record is 44D0306728 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/31/2018 and was last updated on 1/31/2024.

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	101YM0800X	Counselor	Mental Health	6358	TENNESSEE	No
2	101YM0800X	Counselor	Mental Health			Yes
3	171M00000X	Case Manager/Care Coordinator				No

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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