LARRY LIEDKE
NPI 1043614977
Counselor - Addiction (Substance Use Disorder) in Wauchula, FL

Q: What is Larry Liedke's NPI number?

The NPI number for Larry Liedke is 1043614977. It was assigned to this individual provider in the NPPES registry on October 21, 2014.

Q: What is Larry Liedke's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Q: When was this NPI record last updated?

The NPPES record for Larry Liedke was last updated on October 21, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since October 21, 2014

125 W MAIN ST, SUIT B, WAUCHULA, FL 33873(863) 448-4332 Get Directions Write a Review

NPPES record last updated: October 21, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Larry Liedke NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LARRY LIEDKE (NPI 1043614977) is an individual addiction (substance use disorder) provider in Wauchula, Florida and active in the NPI registry since October 2014.

NPPES Registry Identity

NPI1043614977

Entity TypeIndividualMale

Primary Taxonomy101YA0400X

Provider Legal NameLARRY LIEDKE

Location Address125 W MAIN ST, SUIT BWauchula, FL 33873-2819

Mailing Address125 W Main St, Suit BWauchula, FL 33873-2819 · (863) 448-4332

Phone(863) 448-4332

Sole ProprietorNo

Enumeration DateOctober 21, 2014

✔ NPI 1043614977 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers

Taxonomy Code101YA0400X

125 W MAIN ST, Wauchula, FL 33873

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Larry Liedke's NPI number?

The NPI number for Larry Liedke is 1043614977. It was assigned to this individual provider in the NPPES registry on October 21, 2014.

Where is Larry Liedke located?

Larry Liedke practices at 125 W Main St Suit B, Wauchula, FL 33873. The listed phone number is (863) 448-4332.

What is Larry Liedke's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Larry Liedke was last updated on October 21, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.