AUDREY NICOLE GORDON LPC. LCDC NPI 1881351039

NPI Information

NPI: 1881351039
Provider Name: AUDREY NICOLE GORDON, LPC. LCDC
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

PECOS Registration: Yes

Address:
7979 BROADWAY STE 100
SAN ANTONIO, TX
ZIP 78209
Phone: (571) 499-1064
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Audrey Nicole Gordon, LPC. LCDC is a professional counselor in San Antonio, TX. Audrey Nicole Gordon, LPC. LCDC NPI is 1881351039. 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:

7979 BROADWAY STE 100
SAN ANTONIO, TX
ZIP 78209-657
Phone: (571) 499-1064

The NPI 1881351039 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 11/23/2021 and was last updated on 1/23/2024.

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
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	15966	TEXAS	No
2	101YM0800X	Counselor	Mental Health	87094	TEXAS	No
3	101YP2500X	Counselor	Professional	87094	TEXAS	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: 5/5/2024

NPI Synchronization or Removal

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