Nic Wildes is a Mental Health in Brookline, Massachusetts. Nic Wildes practices all healthcare services and medical treatments related to Mental Health. The NPI Number for Nic Wildes is 1881732618. The last update date is 2023-08-24.
Nic Wildes's current location address is 12 Sewall Ave, Brookline, Massachusetts. You can contact this provider via phone number 6172037082. The mailing address for Nic Wildes is 12 Sewall Ave, Brookline, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Nic Wildes |
|---|---|
| Address | 12 Sewall Ave, Brookline, Massachusetts |
| Phone Number | 6172037082 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | LMHC |
NPI Number Detail
| NPI Number | 1881732618 |
|---|---|
| Provider Enumeration Date | 2007-02-02 |
| Last Updated Date | 2023-08-24 |
Provider Mailing Address Detail
| Address | 12 Sewall Ave |
|---|---|
| City | Brookline |
| State | Massachusetts (MA) |
| Post Code | 244651020 |
| Phone Number | 6172037082 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Mental Health |
|---|---|
| Taxonomy | 101Ym0800X |
| Licence No | 6217 |
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Definition: A counselor who helps people manage conditions like depression, anxiety, grief, relationship issues, and more. |
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Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Nic Wildes by the Centers for Medicare & Medicaid Services?
The Nic Wildes has been assigned the NPI (National Provider Identifier) 1881732618 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Nic Wildes is physically located?
The Nic Wildes is physically situated at the following address: 12 Sewall Ave, Brookline, MA, 244651020.
What is the area of specialization for Nic Wildes, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Nic Wildes is Mental Health, and the corresponding taxonomy code that categorizes this area of expertise is 101Ym0800X.
On what date did the Nic Wildes receive its 1881732618 assignment from the Centers for Medicare & Medicaid Services?
The Nic Wildes was assigned its 1881732618 by the Centers for Medicare & Medicaid Services on 2007-02-02.
As of what date was the information pertaining to Nic Wildes, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Nic Wildes, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2023-08-24.
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