Smith, Nicole Regina
Smith, Nicole Regina is an sole proprietor health care provider with primary practice located at 700 S Rosemary Ave Ste 204-A40 , West Palm Beach FL 33401-6313. She recently has 4 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 / Professional, Behavioral Health & Social Service Providers / School. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Smith, Nicole Regina can be contacted via phone (321) 662-0839.Contact Information
Primary practice address
700 S Rosemary Ave Ste 204-A40
West Palm Beach FL 33401-6313
Phone: (321) 662-0839
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | MH22361 | Florida |
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | ||
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | ||
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | MH22361 | |
| Behavioral Health & Social Service Providers / School | 101YS0200X | MH22361 | Florida |
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | MH22361 | Florida |
Profile Details
| NPI number | 1730511759 |
|---|---|
| LBN Legal business name | Smith, Nicole Regina |
| Credentials | LMHC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 1st, 2013 |
| Last updated | Oct 27th, 2023 - about 3 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 | 1730511759 | NPPES |
| Florida | Other | MH22361 | FLORIDA DEPARTMENT OF HEALTH |
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