Nonclerc, Nicole

Nonclerc, Nicole is an individual health care provider with primary practice located at 1134 Bell Shoald Road , Brandon FL 33511. 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 / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Nonclerc, Nicole can be contacted via phone (813) 315-8648.

Contact Information

Primary practice address
1134 Bell Shoald Road Brandon FL 33511
Phone: (813) 315-8648
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X CAP 100016 Florida
Behavioral Health & Social Service Providers / Mental Health 101YM0800X MH15132 Florida

Profile Details

NPI number 1356886204
LBN Legal business name Nonclerc, Nicole
Credentials MS, LMHC, MCAP, NCC
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 2nd, 2017
Last updated Feb 8th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1356886204 NPPES
Florida MEDICAID 021221300
Florida Other 14031390

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