Brewer, Nicole Marie

Brewer, Nicole Marie is an sole proprietor health care provider with primary practice located at 2470 Saint Rose Pkwy Ste 201 , Henderson NV 89074-7774. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Brewer, Nicole Marie can be contacted via phone (702) 496-6562.

Contact Information

Primary practice address
2470 Saint Rose Pkwy Ste 201 Henderson NV 89074-7774
Phone: (702) 496-6562
Fax: (702) 993-8283
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 323-LC Nevada
Behavioral Health & Social Service Providers / Mental Health 101YM0800X CP0069 Nevada

Profile Details

NPI number 1790087807
LBN Legal business name Brewer, Nicole Marie
Credentials CPC, LCADC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 22nd, 2010
Last updated Aug 24th, 2020 - about 4 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1790087807 NPPES
Nevada MEDICAID 1041C0700X

Popular Providers