| Nicole Bagge Lmhc Inc. | |
|
641 University Blvd Ste 206 Jupiter FL 33458-2791 | |
| (561) 254-7226 | |
| Not Available |
| Full Name | Nicole Bagge Lmhc Inc. |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 641 University Blvd, Jupiter, Florida |
| Authorized Official Name and Position | Nicole A Bagge (LICENSED PSYCHOTHERAPIST) |
| Authorized Official Contact | 5612547226 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nicole Bagge Lmhc Inc. 641 University Blvd Ste 206 Jupiter FL 33458-2791 Ph: (561) 254-7226 | Nicole Bagge Lmhc Inc. 641 University Blvd Ste 206 Jupiter FL 33458-2791 Ph: (561) 254-7226 |
| NPI Number | 1821369281 |
|---|---|
| Provider Enumeration Date | 01/17/2012 |
| Last Update Date | 01/17/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821369281 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | MH 9507 (Florida) | Primary |
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