William Benjamin Copeland, LADAC II
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Lewisburg, TN
NPI 1710768809 · NPPES record last updated Oct 13, 2023
Key facts
- NPI
- 1710768809
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- License
- LDC0000001220 (TN)
- Practice address
- 1169 Nashville Hwy
Lewisburg, TN 37091-2236 - Phone
- (865) 378-6929
- NPI assigned
- Oct 13, 2023
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LDC0000001220 | TN | MD | Addiction (Substance Use Disorder) Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | LDC0000001220 | TN | Yes |
Addresses
Primary practice location
1169 Nashville Hwy
Lewisburg, TN 37091-2236
Mailing address
700 4TH St SW
Childersburg, AL 35044-1620
Phone (615) 924-0274
Other providers in Lewisburg, TN
- Latisha Carol Colburn
- Vicki L Coleman
- Community Development Center
- Adam Walton Cook
- Cook'S Family Dentistry
- County of Marshall Board of Education
- Emily Hill Darnell
- David Alfredson MD PC
- Michael James Davidson
- Teresa Dianne Davis
All providers in Lewisburg, TN · Addiction (Substance Use Disorder) Counselor in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 13, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.