MARK ANTHONY WADDELL


Address: 189 Samaritans Ridge Rd Ste 104, Elkin, NC 28621-2472
Phone: 3368270089

MARK ANTHONY WADDELL (NPI# 1952863904) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1952863904
Entity Type Individual
Full Name MARK ANTHONY WADDELL
Credential LPCA
Practice Address 189 Samaritans Ridge Rd Ste 104
Elkin
NC 28621-2472
Mailing Address 318 N Bridge St
Jonesville
NC 28642-2210
Practice Telephone 3368270089
Mailing Telephone 3362446940
Enumeration Date 2019-04-01
Last Update Date 2019-09-11
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
LCAS-24872 NC Behavioral Health & Social Service Providers
N 101YP2500X Counselor
Specialization: Professional
A14667 NC Behavioral Health & Social Service Providers

Other Providers MARK WADDELL

NPI Name Taxonomy Address Enumeration
1780741066 Mark R Waddell Emergency Medicine 100 Hoylman Dr, Gassaway, WV 26624-9321 2007-01-03

Office Location

Street Address 189 SAMARITANS RIDGE RD STE 104
City ELKIN
State NC
Zip Code 28621-2472

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1013553692 Carenet, Inc. Counselor 1288 C.b. Eller School Road, Elkin, NC 28621 2019-11-19
1386104776 North Bridge Physio and Sports Performance Clinic/Center 1605 North Bridge Street, Elkin, NC 28621 2019-03-21
1609389238 Rebecca Anne Dumas Physical Therapist 145 Valleybrook Dr, Elkin, NC 28621 2017-11-06
1922547744 Lori Barker Clinical Nurse Specialist 124, Samaritan's Ridge Road, Elkin, NC 28621 2017-02-13
1205061256 Hugh Chatham Memorial Hospital, Inc Internal Medicine 520 Chatham Medical Park, Elkin, NC 28621 2009-05-20
1093909236 Elkin Obstetrics and Gynecology, Pllc Obstetrics & Gynecology 101 A Eldon Parks Dr., Elkin, NC 28621 2007-08-30
1497956205 Nayana Abrol Internal Medicine 180 Parkwood Drive, Hugh Chatham Memorial Hospital, Elkin, NC 28621 2007-05-30
1104950765 Dgis Elkin Inc Dba Chatham Nursing and Rehabilitation Skilled Nursing Facility 700 Johnson Ridge Road, Elkin, NC 28621 2007-03-15
1093860777 Carolina Select Home Care, LLC. Home Health 948-b Johnson Ridge Rd., Elkin, NC 28621 2007-01-24
1922160761 Piedmont Department of Urology, Pllc Urology 350 Johnson Ridge Medical Park, Elkin, NC 28621 2006-12-15
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Taxonomy Information

Taxonomy Code 101YA0400X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Addiction (Substance Use Disorder)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1750411369 The Ac Group Inc Counselor 126 W Main St, Elkin, NC 28621-3433 2007-03-06

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1346841384 Karen Yvette Johnson Counselor 2500 Saint Christopher Cir Sw Apt 1, Wilson, NC 27893-4474 2020-11-05
1407456163 Fallon Middle Williams Counselor 127 Westview Meadows Dr, Goldsboro, NC 27530-9589 2020-10-30
1205436268 Josette Hoffman Skinner Counselor 51 Park Dr Sw, Concord, NC 28027-7029 2020-10-29
1962002931 Mind Over Mood Counselor 115 Carlos Drive, Garysburg, NC 27831 2020-10-29
1528668043 Hope and Wellness Counseling Pllc Counselor 4017 S Nc Highway 11, Wallace, NC 28466-6111 2020-10-26
1205436730 Joy Elise Chiles Counselor 8505 Mount Valley Ln, Raleigh, NC 27613-6931 2020-10-26
1588264006 Jocelyn S Whitfield Counselor 1279 William Beale Rd, Pendleton, NC 27862-7015 2020-10-26
1225637796 Cindy Verdoorn Counselor 10831 Pineville Rd Unit 9, Pineville, NC 28134-8137 2020-10-25
1700485430 Travis William Richardson Counselor 3 Doctors Park Ste 3g, Asheville, NC 28801-4531 2020-10-23
1952900615 Eastern Trauma & Recovery Counseling Service Counselor 11814 Us 64a, Spring Hope, NC 27882-9637 2020-10-22
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Competitor

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City ELKIN
Zip Code 28621

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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