WILLIAM BENJAMIN COPELAND LADAC II
NPI 1710768809
Counselor - Addiction (Substance Use Disorder) in Lewisburg, TN
Active since October 13, 2023
About William Benjamin Copeland Ladac Ii NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
WILLIAM BENJAMIN COPELAND LADAC II (NPI 1710768809) is an individual addiction (substance use disorder) provider in Lewisburg, Tennessee, licensed in Tennessee (LDC0000001220) and active in the NPI registry since October 2023.
NPPES Registry Identity
NPI1710768809
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameWILLIAM BENJAMIN COPELANDCredential: LADAC II
Location Address1169 NASHVILLE HWYLewisburg, TN 37091-2236
Mailing Address700 4th St SwChildersburg, AL 35044-1620 · (615) 924-0274
Phone(865) 378-6929
Sole ProprietorYes
Enumeration DateOctober 13, 2023
NPPES CertifiedOctober 13, 2023
✔ NPI 1710768809 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 TN · LDC0000001220
1169 NASHVILLE HWY, Lewisburg, TN 37091
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1710768809, enumerated as an "individual" on October 13, 2023.
The provider is located at 1169 NASHVILLE HWY LEWISBURG, TN 37091 and the phone number is (865) 378-6929.
Counselor with taxonomy code 101YA0400X and a focus in Addiction (Substance Use Disorder).
