| Nicole Wardell, Llc | |
|
3 Cleveland Ct Greenville SC 29607-2414 | |
| (864) 901-4600 | |
| Not Available |
| Full Name | Nicole Wardell, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 3 Cleveland Ct, Greenville, South Carolina |
| Authorized Official Name and Position | Nicole Wardell (OWNER) |
| Authorized Official Contact | 8649014600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nicole Wardell, Llc 63 E Castle Dr Greenville SC 29605-3204 Ph: (864) 901-4600 | Nicole Wardell, Llc 3 Cleveland Ct Greenville SC 29607-2414 Ph: (864) 901-4600 |
| NPI Number | 1265991731 |
|---|---|
| Provider Enumeration Date | 03/14/2019 |
| Last Update Date | 03/14/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265991731 | NPI | - | NPPES |
| PC1454 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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