JOEL TYLER WHITESIDE LPC NPI 1548039100

NPI Information

NPI: 1548039100
Provider Name: JOEL TYLER WHITESIDE, LPC
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
10756 W BUCHANAN ST
AVONDALE, AZ
ZIP 85323
Phone: (360) 703-7138
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Joel Tyler Whiteside, LPC is a professional counselor in Avondale, AZ. Joel Tyler Whiteside, LPC NPI is 1548039100. 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:

10756 W BUCHANAN ST
AVONDALE, AZ
ZIP 85323-441
Phone: (360) 703-7138

The enumeration date for this NPI number is 12/25/2023 and was last updated on 2/21/2024.

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
1	101YP2500X	Counselor	Professional	LPC-22756	ARIZONA	Yes
2	101YM0800X	Counselor	Mental Health	22756	ARIZONA	No

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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