Buddle-Diaz, Nicole E

Buddle-Diaz, Nicole E is an sole proprietor health care provider with primary practice located at 2300 Lakeview Pkwy Ste 700 , Alpharetta GA 30009-9066. She 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 / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Buddle-Diaz, Nicole E can be contacted via phone (678) 699-6208.

Contact Information

Primary practice address
2300 Lakeview Pkwy Ste 700 Alpharetta GA 30009-9066
Phone: (678) 699-6208
Fax: (678) 916-3810
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X CAP 3256 Florida
Behavioral Health & Social Service Providers / Clinical 1041C0700X SW6986 Florida
Behavioral Health & Social Service Providers / Clinical 1041C0700X CSW004130 Georgia

Profile Details

NPI number 1407158165
LBN Legal business name Buddle-Diaz, Nicole E
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 30th, 2010
Last updated May 6th, 2020 - about 6 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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