Nicole Tacoma, Psyd, Pc

LBN: Nicole Tacoma, Psyd, Pc
Nicole Tacoma, Psyd, Pc is an health care organization with primary practice located at 17940 Farmington Rd Ste 220 , Livonia MI 48152-3185. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as the primary health care specialty. Nicole Tacoma, Psyd, Pc can be contacted via phone (248) 987-0654, or through Tacoma, Nicole via phone (248) 987-0654.

Contact Information

Primary practice address
17940 Farmington Rd Ste 220 Livonia MI 48152-3185
Phone: (248) 987-0654
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Tacoma, Nicole PSYD
Phone: (248) 987-0654

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X

Profile Details

NPI number 1114692506
LBN Legal business name Nicole Tacoma, Psyd, Pc
DBA Doing business as
Authorized official Tacoma, Nicole PSYD
Entity Organization
Organization subpart 1 No
Enumeration date Aug 9th, 2021
Last updated Aug 9th, 2021 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114692506 NPPES
Michigan Other 1629391651 NPI TYPE 1

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