MR. EDWARD WATERS SIDEBOTTOM LPC NPI 1780332452

NPI Information

NPI: 1780332452
Provider Name: MR. EDWARD WATERS SIDEBOTTOM, LPC
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
5372 WINDY RIDGE RD
CHARLOTTESVILLE, VA
ZIP 22903
Phone: (434) 981-2351
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MR. Edward Waters Sidebottom, LPC is a mental health counselor in Charlottesville, VA. MR. Edward Waters Sidebottom, LPC NPI is 1780332452. 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:

5372 WINDY RIDGE RD
CHARLOTTESVILLE, VA
ZIP 22903-359
Phone: (434) 981-2351

The enumeration date for this NPI number is 3/12/2022 and was last updated on 3/12/2022.

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	101YM0800X	Counselor	Mental Health			Yes

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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