Blue, Nicole R

Blue, Nicole R is an individual health care provider with primary practice located at 330 N Clyde Morris Blvd , Daytona Beach FL 32114-2733. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavior Technician, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Blue, Nicole R can be contacted via phone (386) 676-7100.

Contact Information

Primary practice address
330 N Clyde Morris Blvd Daytona Beach FL 32114-2733
Phone: (386) 676-7100
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X Florida
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1467970491
LBN Legal business name Blue, Nicole R
Credentials LMHC
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2017
Last updated Apr 26th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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