Doctor Name: | NICOLE TOQUE |
NPI Number: | 1457742520 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | |
Business Practice Address: | 2814 S Us Hwy. #1, Ste D-4 Fort Pierce, FL - 34982 |
Business Phone Number: | 7724894726 |
Business Fax Number: | 7724890423 |
Mailing Address: | 3000 Indigo Bunting Ct, PORT ST LUCIE |
State: | FL |
Postal Code: | 349523190 |
Phone Number: | 6096804223 |
Fax Number: | |
NPI Enumeration Date: | 02/11/2015 |
NPI Last Update Date: | 02/11/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |