Darosh, Nichole Lynn
Darosh, Nichole Lynn is an sole proprietor health care provider with primary practice located at 1105 Berkshire Blvd Ofc 110 , Wyomissing PA 19610-1248. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Darosh, Nichole Lynn can be contacted via phone (610) 374-4963.Contact Information
Primary practice address
1105 Berkshire Blvd Ofc 110
Wyomissing PA 19610-1248
Phone: (610) 374-4963
Fax: (610) 378-5403
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counselor | 101Y00000X | ||
| Behavioral Health & Social Service Providers / Professional | 101YP2500X |
Profile Details
| NPI number | 1942767397 |
|---|---|
| LBN Legal business name | Darosh, Nichole Lynn |
| Credentials | M. ED, BSL, LPC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 21st, 2019 |
| Last updated | Oct 31st, 2024 - about 2 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 | 1942767397 | NPPES |
| Pennsylvania | MEDICAID | 1025045820003 |
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