Doctor Name: | MRS. NICOLE MARIE TAULBEE |
NPI Number: | 1306808035 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.A., L.M.H.C. |
License Number: | 39001501A |
Business Practice Address: | 6910 N. Main St. Unit 31 Suite 12h Granger, IN - 46530 |
Business Phone Number: | 8668454026 |
Business Fax Number: | 8668454026 |
Mailing Address: | 107 James St, DOWAGIAC |
State: | MI |
Postal Code: | 490471359 |
Phone Number: | 2697822477 |
Fax Number: | 2697822489 |
NPI Enumeration Date: | 04/06/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 39001501A |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | IN |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |