Wendy Case, LCDC

Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Copperas Cove, TX

NPI 1992286124 · NPPES record last updated Aug 26, 2018

Key facts

NPI
1992286124
Entity type
Individual (NPI type 1)
Primary specialty
Addiction (Substance Use Disorder) Counselor 101YA0400X
License
14512 (TX)
Practice address
1216 Duncan Rd
Copperas Cove, TX 76522-7409
Phone
(254) 577-4880
Fax
(254) 518-5300
NPI assigned
Aug 26, 2018
Sex
Female
Sole proprietor
Yes

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
79796TXMDMental Health Counselor
14512TXMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Travail Adaptations Past Accepting new patients
Angels on the Horizon Therapeutic Center, LLC Past
since Feb 1, 2018
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 79796 TX
Addiction (Substance Use Disorder) Counselor 101YA0400X 14512 TX Yes

Addresses

Primary practice location

1216 Duncan Rd
Copperas Cove, TX 76522-7409

Mailing address

5269 FM 580 E
Kempner, TX 76539-8754
Phone (254) 833-4568

Other providers in Copperas Cove, TX

All providers in Copperas Cove, TX · Addiction (Substance Use Disorder) Counselor in Texas

Sources for this page

Verify at the official NPI Registry.