THEA WOOTEN MA, LCASA
NPI 1083155154
Counselor - Addiction (Substance Use Disorder) in Statesville, NC

Q: What is Thea Wooten's NPI number?

The NPI number for Thea Wooten is 1083155154. It was assigned to this individual provider in the NPPES registry on March 9, 2017.

Q: What is Thea Wooten'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 Thea Wooten was last updated on March 9, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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 March 09, 2017

612 SIGNAL HILL DRIVE EXT, STATESVILLE, NC 28625(704) 872-0234 Get Directions Write a Review

NPPES record last updated: March 9, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Thea Wooten Ma, Lcasa NPPES

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

THEA WOOTEN MA, LCASA (NPI 1083155154) is an individual addiction (substance use disorder) provider in Statesville, North Carolina, licensed in North Carolina (23390) and active in the NPI registry since March 2017.

NPPES Registry Identity

NPI1083155154

Entity TypeIndividualFemale

Primary Taxonomy101YA0400X

Provider Legal NameTHEA WOOTENCredential: MA, LCASA

Location Address612 SIGNAL HILL DRIVE EXTStatesville, NC 28625-4353

Mailing Address20014 Northport DrCornelius, NC 28031-6433 · (704) 872-0234 · Fax (704) 818-1114

Phone(704) 872-0234

Sole ProprietorYes

Enumeration DateMarch 9, 2017

✔ NPI 1083155154 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

License✔ Licensed in NC · 23390

612 SIGNAL HILL DRIVE EXT, Statesville, NC 28625

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Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. BARBARA JO HAYES FNP

Nurse Practitioner (Psychiatric/Mental Health)

612 SIGNAL HILL DRIVE EXT
STATESVILLE, NC 28625

Iredell County (980) 705-1620

SHANEE WASSON LCMHC-A, LCAS-A

Counselor (Addiction (Substance Use Disorder))

612 SIGNAL HILL DRIVE EXT
STATESVILLE, NC 28625

Iredell County (704) 872-0234

MS. HOPE LYNN WILLIAMS LCMHC-A, LCAS-A

Counselor (Mental Health)

612 SIGNAL HILL DRIVE EXT
STATESVILLE, NC 28625

Iredell County (704) 872-0234

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 Thea Wooten's NPI number?

The NPI number for Thea Wooten is 1083155154. It was assigned to this individual provider in the NPPES registry on March 9, 2017.

Where is Thea Wooten located?

Thea Wooten practices at 612 Signal Hill Drive Ext, Statesville, NC 28625. The listed phone number is (704) 872-0234.

What is Thea Wooten'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 Thea Wooten was last updated on March 9, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.