CARL ANTHONY WARDLAW LPC
NPI 1326360462
Counselor in Vidalia, GA

Active since February 17, 2010
508 DONOVAN ST, VIDALIA, GA 30474(912) 537-9280(912) 537-6289 Get Directions Write a Review

NPPES record last updated: February 17, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Carl Anthony Wardlaw Lpc NPPES

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

CARL ANTHONY WARDLAW LPC (NPI 1326360462) is an individual counselor in Vidalia, Georgia, licensed in Georgia (LPC005881) and active in the NPI registry since February 2010.

NPPES Registry Identity

NPI1326360462
Entity TypeIndividualMale
Primary Taxonomy101Y00000X
Provider Legal NameCARL ANTHONY WARDLAWCredential: LPC
Location Address508 DONOVAN STVidalia, GA 30474-3149
Mailing AddressPo Box 178Vidalia, GA 30475-0178 · (912) 537-9280 · Fax (912) 537-6289
Fax(912) 537-6289
Sole ProprietorYes
Enumeration DateFebruary 17, 2010
NPI 1326360462 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License Licensed in GA · LPC005881
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
508 DONOVAN ST, Vidalia, GA 30474

Other Names 1

Other Name (5)Tony Wardlaw Lpc

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 Carl Wardlaw's NPI number?

The NPI number for Carl Wardlaw is 1326360462. It was assigned to this individual provider in the NPPES registry on February 17, 2010. The provider is also known as Tony Wardlaw Lpc.

Where is Carl Wardlaw located?

Carl Wardlaw practices at 508 Donovan St, Vidalia, GA 30474. The listed phone number is (912) 537-9280.

What is Carl Wardlaw's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Carl Wardlaw was last updated on February 17, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.