MR. MICHAEL CARLYLE CADC-CS ICCS CCDS NPI 1902488679

NPI Information

NPI: 1902488679
Provider Name: MR. MICHAEL CARLYLE, CADC-CS, ICCS, CCDS
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
28184 TIERRA VISTA RD
TEMECULA, CA
ZIP 92592
Phone: (949) 228-8478
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MR. Michael Carlyle, CADC-CS, ICCS, CCDS is an addiction (substance use disorder) counselor in Temecula, CA. MR. Michael Carlyle, CADC-CS, ICCS, CCDS NPI is 1902488679. The provider is registered as an individual entity type and is a single specialty group.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

28184 TIERRA VISTA RD
TEMECULA, CA
ZIP 92592-075
Phone: (949) 228-8478

The enumeration date for this NPI number is 4/22/2021 and was last updated on 4/22/2021.

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)	CS0920517	CALIFORNIA	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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