CHARLES RICHARD SEABERG LCDC NPI 1710227624

NPI Information

  • NPI: 1710227624
  • Provider Name: CHARLES RICHARD SEABERG, LCDC
  • Classification: Counselor - 101YA0400X
  • Specialization: Addiction (Substance Use Disorder)
  • Entity Type: Individual
  • Address: 111 NW 24TH ST
    FORT WORTH, TX
    ZIP 76164
  • Phone: (817) 626-6401

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NPI Details

Charles Richard Seaberg, LCDC is an addiction (substance use disorder) counselor in Fort Worth, TX. Charles Richard Seaberg, LCDC NPI is 1710227624. 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:

111 NW 24TH ST
FORT WORTH, TX
ZIP 76164-544
Phone: (817) 626-6401

The enumeration date for this NPI number is 3/1/2013 and was last updated on 3/1/2013.

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
1101YA0400XCounselorAddiction (Substance Use Disorder)3251TEXASYes

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: 3/30/2025

NPI Synchronization or Removal

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