MRS. ANGELA ROBIN WYATT WOOTEN LCMHC NCC NPI 1386039428

NPI Information

  • NPI: 1386039428
  • Provider Name: MRS. ANGELA ROBIN WYATT WOOTEN, LCMHC, NCC
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 276 OLD MOCKSVILLE RD STE 100
    STATESVILLE, NC
    ZIP 28625
  • Phone: (704) 360-3637

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NPI Details

MRS. Angela Robin Wyatt Wooten, LCMHC, NCC is a mental health counselor in Statesville, NC. MRS. Angela Robin Wyatt Wooten, LCMHC, NCC NPI is 1386039428. 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:

276 OLD MOCKSVILLE RD STE 100
STATESVILLE, NC
ZIP 28625-951
Phone: (704) 360-3637
Fax: (704) 200-9829

The NPI 1386039428 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 4/6/2015 and was last updated on 1/16/2024.

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
1101YM0800XCounselorMental Health11555NORTH CAROLINAYes

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: 3/30/2025

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