Gies, Nicole Helene
Gies, Nicole Helene is an individual health care provider with primary practice located at N91W17271 Appleton Ave , Menomonee Falls WI 53051-2045. 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. Gies, Nicole Helene can be contacted via phone (262) 502-3300.Contact Information
Primary practice address
N91W17271 Appleton Ave
Menomonee Falls WI 53051-2045
Phone: (262) 502-3300
Fax: (262) 532-9585
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 13989 | Wisconsin |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 7319-123 | Wisconsin |
Profile Details
| NPI number | 1609912559 |
|---|---|
| LBN Legal business name | Gies, Nicole Helene |
| Credentials | LCSW, RADC-I |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 29th, 2007 |
| Last updated | Oct 5th, 2010 - about 16 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 | 1609912559 | NPPES |
| Wisconsin | MEDICAID | 43717400 |
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