Provider Information for 1760674170
The following NPI(s) contain information matching your search criteria. Please select the NPI to view all the data associated with the NPI.
Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know
NICOLE M. THWEATT Ph. D, LMHC
Sex: Female
NPI: 1760674170
Last Updated: 2023-10-02
Certification Date: 2023-10-02
Certification Date: 2023-10-02
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1760674170 | ||||||||
| Enumeration Date | 2007-08-10 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 5415 LAKE HOWELL RD # 214 WINTER PARK, FL 32792-1033 United States Phone: 407-587-5978 | Fax:407-926-0294 | ||||||||
| Primary Practice Address | 2335 INAGUA WAY WINTER PARK, FL 32792-1629 United States Phone: 407-587-5978 | Fax: | ||||||||
| Secondary Practice Address(es) | |||||||||
| Health Information Exchange |
| ||||||||
| Other Identifiers |
| ||||||||
| Taxonomy |
|