NICOLE MATEO LPC-S NPI 1821272808

NPI Information

NPI: 1821272808
Provider Name: NICOLE MATEO, LPC-S
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
2440 SANDY PLAINS RD BLDG 13-400
MARIETTA, GA
ZIP 30066
Phone: (770) 896-2659
Get Directions

Nicole Mateo, LPC-S is a professional counselor in Marietta, GA. Nicole Mateo, LPC-S NPI is 1821272808. 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:

2440 SANDY PLAINS RD BLDG 13-400
MARIETTA, GA
ZIP 30066-228
Phone: (770) 896-2659
Fax: (470) 428-8144

The enumeration date for this NPI number is 12/26/2007 and was last updated on 8/17/2018.

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
1	101YP2500X	Counselor	Professional	IMH6096	FLORIDA	No
2	101YP2500X	Counselor	Professional	68091	TEXAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	281842907	MEDICAID	TEXAS
2	891LPR	OTHER	TEXAS	BLUE CROSS BLUE SHIELD

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: 4/28/2024

NPI Synchronization or Removal

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