Pankey, Nicole Juliette

Pankey, Nicole Juliette is an sole proprietor health care provider with primary practice located at 13194 Us 301 S Unit 119 , Riverview FL 33578-7410. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, 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. Pankey, Nicole Juliette can be contacted via phone (850) 276-6446.

Contact Information

Primary practice address
13194 Us 301 S Unit 119 Riverview FL 33578-7410
Phone: (850) 276-6446
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X IMH-16423 Florida
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X IMH-16423 Florida
Behavioral Health & Social Service Providers / Mental Health 101YM0800X IMH-16423 Florida

Profile Details

NPI number 1548817422
LBN Legal business name Pankey, Nicole Juliette
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 24th, 2019
Last updated May 12th, 2021 - about 3 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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