MICHAEL K GARDNER LCDC NPI 1497266001

NPI Information

NPI: 1497266001
Provider Name: MICHAEL K GARDNER, LCDC
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
7515 GREENVILLE AVE STE 1000
DALLAS, TX
ZIP 75231
Phone: (469) 480-5560
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Michael K Gardner, LCDC is an addiction (substance use disorder) counselor in Dallas, TX. Michael K Gardner, LCDC NPI is 1497266001. 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:

7515 GREENVILLE AVE STE 1000
DALLAS, TX
ZIP 75231-852
Phone: (469) 480-5560

The enumeration date for this NPI number is 10/23/2017 and was last updated on 10/23/2017.

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)	4871	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: 5/5/2024

NPI Synchronization or Removal

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