Lisa Marie Nicolette in Port St Lucie - Mental Health
Lisa Marie Nicolette - NPI 1114052289
Lisa Marie Nicolette is a Mental Health in Port St Lucie, Florida. Lisa Marie Nicolette practices all healthcare services and medical treatments related to Mental Health. The NPI Number for Lisa Marie Nicolette is 1114052289. The last update date is 2023-07-28.
Lisa Marie Nicolette's current location address is 1901 Sw Certosa Rd, Port St Lucie, Florida. You can contact this provider via phone number 7722061249. The mailing address for Lisa Marie Nicolette is 1901 Sw Certosa Rd, Port St Lucie, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lisa Marie Nicolette |
|---|---|
| Address | 1901 Sw Certosa Rd, Port St Lucie, Florida |
| Phone Number | 7722061249 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | M.S., LMHC |
NPI Number Detail
| NPI Number | 1114052289 |
|---|---|
| Provider Enumeration Date | 2007-02-22 |
| Last Updated Date | 2023-07-28 |
Provider Mailing Address Detail
| Address | 1901 Sw Certosa Rd |
|---|---|
| City | Port St Lucie |
| State | Florida (FL) |
| Post Code | 349531369 |
| Phone Number | 7722061249 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Mental Health |
|---|---|
| Taxonomy | 101Ym0800X |
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Definition: A counselor who helps people manage conditions like depression, anxiety, grief, relationship issues, and more. |
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What is the unique 10-digit identifier code assigned to Lisa Marie Nicolette by the Centers for Medicare & Medicaid Services?
The Lisa Marie Nicolette has been issued the NPI (National Provider Identifier) 1114052289 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Lisa Marie Nicolette?
The Lisa Marie Nicolette is physically situated at 1901 Sw Certosa Rd, in the city of Port St Lucie, state of FL, with the postal code 349531369.
What is Lisa Marie Nicolette's specialized field of practice, and what is the corresponding taxonomy classification code?
The Lisa Marie Nicolette's area of specialization is Mental Health, and the corresponding taxonomy code that categorizes this field of practice is 101Ym0800X.
On what date did Lisa Marie Nicolette receive its 1114052289 assignment from the Centers for Medicare & Medicaid Services?
The Lisa Marie Nicolette was assigned its 1114052289 on 2007-02-22, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the Lisa Marie Nicolette's information last updated?
The Lisa Marie Nicolette's information was last updated on 2023-07-28.