KEITH DOUGLAS WHITE NPI 1518475268

NPI Information

NPI: 1518475268
Provider Name: KEITH DOUGLAS WHITE
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
12050 LAKE AVE APT 504
LAKEWOOD, OH
ZIP 44107
Phone: (216) 231-3772
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Keith Douglas White is an addiction (substance use disorder) counselor in Lakewood, OH. Keith Douglas White NPI is 1518475268. 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:

12050 LAKE AVE APT 504
LAKEWOOD, OH
ZIP 44107-872
Phone: (216) 231-3772
Fax: (216) 231-3772

The enumeration date for this NPI number is 1/16/2018 and was last updated on 1/16/2018.

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)	RN960110	OHIO	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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