Individual provider · Type 1 NPI
Michael Vincent Dwyer, EDD, LCMHC, LCPS
Professional Counselor · Barksdale Air Force Base, LA
NPI number
1568517522
Active
Practice location
2474 Princeton Dr
Barksdale Air Force Base, LA 71111
Mailing address
109 Rainbow Dr # 939
Livingston, TX 77399-1009
Other practice locations
- 4602 Cr 673 # 939, Bushnell, FL 33513-8358 · (352) 410-5552
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 125924 (FL) |
| Mental Health Counselor | 101YM0800X | 11206 (MA) |
| Mental Health Counselor | 101YM0800X | EL11259 (NH) |
| Professional Counselor | 101YP2500X | 8997 (LA) |
| Professional Counselor | 101YP2500X | CC4401 (ME) |
| Professional Counselor Primary | 101YP2500X | MH8348 (FL) |
Professional Counselor: Definition to come...
About NPI 1568517522
Michael Vincent Dwyer, EDD, LCMHC, LCPS's National Provider Identifier is 1568517522, issued on Jan 23, 2007. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Barksdale Air Force Base, LA. The record was last updated on Mar 22, 2023.