Harriman, Nicole Lee

Harriman, Nicole Lee is an sole proprietor health care provider with primary practice located at 4884 Miller Trunk Hwy Ste 100 , Hermantown MN 55811-2836. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Social Worker is her primary health care specialty. Harriman, Nicole Lee can be contacted via phone (218) 812-3600.

Contact Information

Primary practice address
4884 Miller Trunk Hwy Ste 100 Hermantown MN 55811-2836
Phone: (218) 812-3600
Fax: (218) 309-0198
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 21375 Minnesota
Behavioral Health & Social Service Providers / Social Worker 104100000X 21375 Minnesota

Profile Details

NPI number 1457693459
LBN Legal business name Harriman, Nicole Lee
Credentials LICSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 18th, 2013
Last updated Apr 15th, 2021 - about 5 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1457693459 NPPES
Minnesota MEDICAID 1457693459
Minnesota Other 1457693459

Popular Providers