WANDA DANTZLER MAYSE LPC NPI 1396552592

NPI Information

  • NPI: 1396552592
  • Provider Name: WANDA DANTZLER MAYSE, LPC
  • Classification: Counselor - 101YP2500X
  • Specialization: Professional
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1000 JEFFERSON ST STE 2C
    LYNCHBURG, VA
    ZIP 24504
  • Phone: (434) 771-0495

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NPI Details

Wanda Dantzler Mayse, LPC is a professional counselor in Lynchburg, VA. Wanda Dantzler Mayse, LPC NPI is 1396552592. 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:

1000 JEFFERSON ST STE 2C
LYNCHBURG, VA
ZIP 24504-724
Phone: (434) 771-0495

The NPI 1396552592 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 12/12/2024 and was last updated on 3/3/2025.

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
1101YP2500XCounselorProfessional10374SOUTH CAROLINAYes
2101Y00000XCounselor10374SOUTH CAROLINANo
3101YA0400XCounselorAddiction (Substance Use Disorder)10374SOUTH CAROLINANo
4101YM0800XCounselorMental Health10374SOUTH CAROLINANo
5106H00000XMarriage & Family Therapist10374SOUTH CAROLINANo

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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