NIC WILDES LMHC NPI 1881732618

NPI Information

NPI: 1881732618
Provider Name: NIC WILDES, LMHC
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
12 SEWALL AVE
BROOKLINE, MA
ZIP 02446
Phone: (617) 203-7082
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Nic Wildes, LMHC is a mental health counselor in Brookline, MA. Nic Wildes, LMHC NPI is 1881732618. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

12 SEWALL AVE
BROOKLINE, MA
ZIP 02446-102
Phone: (617) 203-7082

The enumeration date for this NPI number is 2/2/2007 and was last updated on 8/24/2023.

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	101YM0800X	Counselor	Mental Health	6217	MASSACHUSETTS	Yes
2	101YM0800X	Counselor	Mental Health			No

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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