Organization · NPI-2

Nicole Noack Lcsw LLC

Community/Behavioral Health · Milford, CT

NPI number1649930157
StatusActive
Last updated in NPPESDec 23, 2021

Details

NPI
1649930157
Entity type
Organization (NPI-2)
Legal business name
Nicole Noack Lcsw LLC
Organization subpart
No
Enumeration date
Dec 23, 2021
Certification date
Dec 23, 2021
Last updated
Dec 23, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251S00000X Community/Behavioral Health––Yes

Practice location

4 Hayes Drive
2nd Fl. Rt.
Milford, CT 06460

Phone 203-208-8644

Mailing address

4 Hayes Drive
2nd Fl. Rt.
Milford, CT 06460

Authorized official

Nicole Noack
Owner
2032088644

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