Wade Lindsay Chartier Ma Ladc

Key facts

NPI

1891469508

Entity type

Organization (NPI type 2)

Primary specialty

Addiction (Substance Use Disorder) Counselor 101YA0400X

Legal business name

WADE LINDSAY CHARTIER MA LADC

Practice address

1101 Noank Ledyard Rd Unit 12
Mystic, CT 06355-1361

Phone

(860) 227-6092

Fax

(860) 850-1031

NPI assigned

Aug 5, 2021

Organization subpart

No

Authorized official

Name

Mrs. Wade Lindsay Chartier, LADC NPI 1194153296

Title

Alcohol and Drug Counselor

Phone

(860) 227-6092

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Wade Lindsay Chartier, LADC Addiction (Substance Use Disorder) Counselor · Mystic, CT · NPI 1194153296
  NPD Authorized official ADDICTION (SUBSTANCE USE DISORDER)

National Provider Directory

Locations

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 5, 2021.

{
    "created_epoch": "1628121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628121600000",
    "number": "1891469508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 ROGERS LAKE TRL",
            "city": "LYME",
            "state": "CT",
            "postal_code": "063711239",
            "telephone_number": "860-227-6092",
            "fax_number": "860-850-1031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 NOANK LEDYARD RD UNIT 12",
            "city": "MYSTIC",
            "state": "CT",
            "postal_code": "063551361",
            "telephone_number": "860-227-6092",
            "fax_number": "860-850-1031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WADE LINDSAY CHARTIER MA LADC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-05",
        "last_updated": "2021-08-05",
        "certification_date": "2021-08-05",
        "status": "A",
        "authorized_official_last_name": "CHARTIER",
        "authorized_official_first_name": "WADE",
        "authorized_official_middle_name": "LINDSAY",
        "authorized_official_title_or_position": "ALCOHOL AND DRUG COUNSELOR",
        "authorized_official_telephone_number": "860-227-6092",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LADC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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