MR. RANDY LEE WALL LPC NCC NPI 1700919099

NPI Information

  • NPI: 1700919099
  • Provider Name: MR. RANDY LEE WALL, LPC, NCC
  • Classification: Counselor - 101YP1600X
  • Specialization: Pastoral
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2560 COLD SPRINGS RD E
    CONCORD, NC
    ZIP 28025
  • Phone: (704) 789-3975

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NPI Details

MR. Randy Lee Wall, LPC, NCC is a pastoral counselor in Concord, NC. MR. Randy Lee Wall, LPC, NCC NPI is 1700919099. 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:

2560 COLD SPRINGS RD E
CONCORD, NC
ZIP 28025-004
Phone: (704) 789-3975

The NPI 1700919099 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 3/14/2007 and was last updated on 7/8/2007.

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
1101YP1600XCounselorPastoral5048NORTH CAROLINAYes

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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