MR. LARRY SHANE WYATT LPC
NPI 1285027003
Counselor - Professional in Crossville, TN
- Individual
- Male
- Counselor
- Professional
About LARRY WYATT
This page provides the complete NPI Profile along with additional information for Larry Wyatt, a provider established in Crossville, Tennessee with a medical specialization in Counselor, focusing in professional . The healthcare provider is registered in the NPI registry with number 1285027003 assigned on March 2015. The practitioner's primary taxonomy code is 101YP2500X with license number 3239 (TN). The provider is registered as an individual and his NPI record was last updated 11 years ago.
- NPI
- 1285027003 Verify this NPI
- Provider Name
- MR. LARRY SHANE WYATT LPC
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 261 YVONNE AVE CROSSVILLE, TN 38555
- Location Phone
- (931) 456-2859
- Location Fax
- (931) 707-8921
- Mailing Address
- 261 YVONNE AVE CROSSVILLE, TN 38555
- Mailing Phone
- (931) 456-2859
- Mailing Fax
- (931) 707-8921
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 03-18-2015
- Last Update Date
- 03-18-2015
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Counselor Professional
- Taxonomy Code
- 101YP2500X
- Type
- Behavioral Health & Social Service Providers
- License No.
- 3239
- License State
- TN
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Other Providers at the Same Location
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1285027003, enumerated as an "individual" on March 18, 2015.
The provider is located at 261 YVONNE AVE CROSSVILLE, TN 38555 and the phone number is (931) 456-2859.
Counselor with taxonomy code 101YP2500X and a focus in Professional.
