NICOLE LEA NPI 1750966560

NPI Information

  • NPI: 1750966560
  • Provider Name: NICOLE LEA
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • Address: 700 BANTAM WAY
    PETALUMA, CA
    ZIP 94952
  • Phone: (707) 778-4724

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NPI Details

Nicole Lea is a mental health counselor in Petaluma, CA. Nicole Lea NPI is 1750966560. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

700 BANTAM WAY
PETALUMA, CA
ZIP 94952-709
Phone: (707) 778-4724

The enumeration date for this NPI number is 3/12/2021 and was last updated on 10/23/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1221700000XArt TherapistNo
2101YM0800XCounselorMental HealthYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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