Shields, Nicole Antoinette

Shields, Nicole Antoinette is an individual health care provider with primary practice located at 1025 Maine St , Quincy IL 62301-4038. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Shields, Nicole Antoinette can be contacted via phone (217) 222-6550.

Contact Information

Primary practice address
1025 Maine St Quincy IL 62301-4038
Phone: (217) 222-6550
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Professional 101YP2500X 180006745 Illinois

Profile Details

NPI number 1023104940
LBN Legal business name Shields, Nicole Antoinette
Credentials MS, LCPC, QMHP
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 5th, 2006
Last updated May 29th, 2014 - about 10 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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