Nicolet Counseling Llc
LBN: Nicolet Counseling Llc
Nicolet Counseling Llc is an health care organization with primary practice located at 5709 Liberty Ct , Fort Wayne IN 46804-4335. The organization 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 the primary health care specialty.
Nicolet Counseling Llc can be contacted via phone (260) 436-5815, or through Nicolet, Ronald via phone (260) 436-5815.
Contact Information
Primary practice address
5709 Liberty Ct
Fort Wayne IN 46804-4335
Phone: (260) 436-5815
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 87000094A | Indiana |
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 39001898A | Indiana |
Profile Details
| NPI number | 1346535754 |
|---|---|
| LBN Legal business name | Nicolet Counseling Llc |
| DBA Doing business as | |
| Authorized official | Nicolet, Ronald |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 14th, 2011 |
| Last updated | Jun 14th, 2011 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1346535754 | NPPES |
| Indiana | MEDICAID | 1 |
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