CARRIE MICHELLE NEELEY MA LPC LCDC NPI 1528612686

NPI Information

NPI: 1528612686
Provider Name: CARRIE MICHELLE NEELEY, MA, LPC, LCDC
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
4035 NACO PERRIN BLVD STE 203C
SAN ANTONIO, TX
ZIP 78217
Phone: (210) 965-9544
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Carrie Michelle Neeley, MA, LPC, LCDC is a professional counselor in San Antonio, TX. Carrie Michelle Neeley, MA, LPC, LCDC NPI is 1528612686. 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:

4035 NACO PERRIN BLVD STE 203C
SAN ANTONIO, TX
ZIP 78217-005
Phone: (210) 965-9544
Fax: (210) 864-7593

The enumeration date for this NPI number is 7/27/2019 and was last updated on 9/14/2020.

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)	46958	TEXAS	No
2	101YP2500X	Counselor	Professional	78878	TEXAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	402958901	MEDICAID	TEXAS

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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