Ceusters, Nicole
Ceusters, Nicole is an sole proprietor health care provider with primary practice located at 6700 Nw 26Th Ter , Fort Lauderdale FL 33309-1304. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Ceusters, Nicole can be contacted via phone (561) 876-2304.Contact Information
Primary practice address
6700 Nw 26Th Ter
Fort Lauderdale FL 33309-1304
Phone: (561) 876-2304
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | MH20111 | Florida |
Profile Details
| NPI number | 1063881589 |
|---|---|
| LBN Legal business name | Ceusters, Nicole |
| Credentials | MS, LMHC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 15th, 2015 |
| Last updated | Apr 7th, 2022 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1063881589 | NPPES |
| Florida | MEDICAID | 000950352 |
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