Costell, Nicole M

Costell, Nicole M is an individual health care provider with primary practice located at 6600 Van Aalst Blvd Bldg 9250 , Fort Moore GA 31905-2102. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Social Worker is her primary health care specialty. Costell, Nicole M can be contacted via phone (850) 885-9972.

Contact Information

Primary practice address
6600 Van Aalst Blvd Bldg 9250 Fort Moore GA 31905-2102
Phone: (850) 885-9972
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X ASW77761 California
Behavioral Health & Social Service Providers / Social Worker 104100000X SW18360 Florida

Profile Details

NPI number 1982133864
LBN Legal business name Costell, Nicole M
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 5th, 2017
Last updated Feb 21st, 2024 - about last year

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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