1992671259 NPI number — MS. WENDY LEIGH LAWHORNE MA, RBT

Table of content: MS. WENDY LEIGH LAWHORNE MA, RBT (NPI 1992671259)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1992671259 NPI number — MS. WENDY LEIGH LAWHORNE MA, RBT

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
LAWHORNE
Provider First Name:
WENDY
Provider Middle Name:
LEIGH
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
MA, RBT
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
PHILLIPS
Provider Other First Name:
WENDY
Provider Other Middle Name:
COLLIER
Provider Other Name Prefix Text:
MRS.
Provider Other Name Suffix Text:
Provider Other Credential Text:
MA, RBT
Provider Other Last Name Type Code:
5

NPI Number Information

NPI Number:
1992671259
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
12/08/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
766 VILLAGE CIR APT 123
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
VENICE
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
34292-2228
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
941-899-1380
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
6421 N FLORIDA AVE STE D-1458
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
TAMPA
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
33604-6007
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
855-832-6727
Provider Business Practice Location Address Fax Number:
772-675-9100
Provider Enumeration Date:
10/14/2025

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 106S00000X , with the licence number:  RBT-23-263772 , registered in the state of FL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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