DR. CONNIE C GARDNER LPC LSATP NPI 1659531028

NPI Information

  • NPI: 1659531028
  • Provider Name: DR. CONNIE C GARDNER, LPC, LSATP
  • Classification: Clinic/Center - 261QM0801X
  • Specialization: Mental Health (Including Community Mental Health Center)
  • Entity Type: Individual
  • Address: 218 MAPLE VALLEY RD
    TAPPAHANNOCK, VA
    ZIP 22560
  • Phone: (434) 390-3512

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NPI Details

DR. Connie C Gardner, LPC, LSATP is a mental health (including community mental health center) clinic center in Tappahannock, VA. DR. Connie C Gardner, LPC, LSATP NPI is 1659531028. 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:

218 MAPLE VALLEY RD
TAPPAHANNOCK, VA
ZIP 22560-662
Phone: (434) 390-3512
Fax: (804) 442-7081

The enumeration date for this NPI number is 6/10/2008 and was last updated on 7/30/2024.

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
1251S00000XCommunity/Behavioral Health2665VIRGINIANo
2261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)0701004280VIRGINIAYes

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: 11/21/2025

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