Mottley, Nicole
Mottley, Nicole is an sole proprietor health care provider with primary practice located at 1525 Blue Hill Ave , Mattapan MA 02126-1702. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Mottley, Nicole can be contacted via phone (617) 296-1700.Contact Information
Primary practice address
1525 Blue Hill Ave
Mattapan MA 02126-1702
Phone: (617) 296-1700
Fax: (617) 296-2979
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 3841 | Massachusetts |
Profile Details
| NPI number | 1871610816 |
|---|---|
| LBN Legal business name | Mottley, Nicole |
| Credentials | L.M.H.C. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 23rd, 2007 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1871610816 | NPPES |
| Massachusetts | Other | LM1084 | BCBS OF MASSACHUSETTS |
| Massachusetts | Other | 463712 | BCBS OF MASSACHUSETTS |
| Massachusetts | MEDICAID | 1894811 | BCBS OF MASSACHUSETTS |
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