Deaver, Nicole

Deaver, Nicole is an sole proprietor health care provider with primary practice located at 33 S Main St , Winter Garden FL 34787-3124. She recently has 2 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 / Mental Health is her primary health care specialty. Deaver, Nicole can be contacted via phone (828) 545-0699.

Contact Information

Primary practice address
33 S Main St Winter Garden FL 34787-3124
Phone: (828) 545-0699
Fax: (828) 333-4320
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X 8368 North Carolina
Behavioral Health & Social Service Providers / Mental Health 101YM0800X MH14265 Florida

Profile Details

NPI number 1740471226
LBN Legal business name Deaver, Nicole
Credentials LPC, LMHC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 8th, 2007
Last updated Dec 15th, 2016 - about 8 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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Identifiers

StateTypeNumberIssuer
All States NPI 1740471226 NPPES
North Carolina MEDICAID 6104869

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