VAN LAWRENCE PORTER MA CDCAQMHS CMS NPI 1881246338

NPI Information

NPI: 1881246338
Provider Name: VAN LAWRENCE PORTER, MA, CDCA,QMHS, CMS
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
3500 CARNEGIE AVE
CLEVELAND, OH
ZIP 44115
Phone: (216) 407-1207
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Van Lawrence Porter, MA, CDCA,QMHS, CMS is an addiction (substance use disorder) counselor in Cleveland, OH. Van Lawrence Porter, MA, CDCA,QMHS, CMS NPI is 1881246338. 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:

3500 CARNEGIE AVE
CLEVELAND, OH
ZIP 44115-734
Phone: (216) 407-1207

The enumeration date for this NPI number is 7/15/2019 and was last updated on 1/31/2020.

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	101YA0400X	Counselor	Addiction (Substance Use Disorder)	CDCA.172699	OHIO	Yes
2	251B00000X	Case Management				No
3	251S00000X	Community/Behavioral Health				No
4	106S00000X	Behavior Technician				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: 11/14/2023

NPI Synchronization or Removal

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