NICOLE MANK, LCSW, LLC (NPI# 1871134478) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871134478 |
| Entity Type | Organization |
| Organization Name | NICOLE MANK, LCSW, LLC |
| Practice Address |
126 Western Ave # 1026 Augusta ME 04330-7249 |
| Practice Telephone | 2072428359 |
| Practice Fax Number | 2075609093 |
| Mailing Telephone | 2072428359 |
| Mailing Fax Number | 2075609093 |
| Enumeration Date | 2019-10-04 |
| Last Update Date | 2019-10-04 |
| Authorized Official Name | NICOLE MANK (OWNER) |
| Authorized Official Telephone | 2072428359 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Street Address |
126 WESTERN AVE # 1026 |
| City | AUGUSTA |
| State | ME |
| Zip Code | 04330-7249 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770181877 | Renewal Family Center, LLC | Community/Behavioral Health | 10 Learners Drive, Augusta, ME 04330 | 2020-10-12 |
| 1134748759 | Chelsea Simone Koch | Registered Nurse | 1 Va Center, Department of Veterans Affairs, Augusta, ME 04330 | 2020-04-14 |
| 1790238442 | Nicole Lacrosse | Behavioral Analyst | 53 Hayden Rd, Augusta, ME 04330 | 2016-07-29 |
| 1093176844 | Richard J. Larrabee | Counselor | 312 Townhouse Road, Chelsea, ME 04330 | 2016-03-08 |
| 1376910984 | Sarah C. A. Tatlock | Social Worker | 41 Anthony Ave, Augusta, ME 04330 | 2015-08-31 |
| 1457728180 | Va Maine Health | General Acute Care Hospital | 1 Va Center 05, Va Maine Healthcare System-togus, Augusta, ME 04330 | 2015-08-28 |
| 1043696842 | Megan Arsenault | Pharmacist | 403 Water Street, Augusta, ME 04330 | 2015-08-04 |
| 1205219987 | Trevor Holbert | Audiologist | 1 Va Center - Togus Va Medical Center, Audiology 126a, Augusta, ME 04330 | 2015-06-30 |
| 1659787836 | Hannah M. Pullen | Occupational Therapy Assistant | 12 Shuman Ave Ste 16, Augusta, ME 04330 | 2014-07-08 |
| 1831469899 | Tanya Bernadette Quarterman | Specialist | 153 Hospital St Ste 13, Augusta, ME 04330 | 2012-01-09 |
| Find all providers in zip 04330 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770181877 | Renewal Family Center, LLC | Community/Behavioral Health | 10 Learners Drive, Augusta, ME 04330 | 2020-10-12 |
| 1497376792 | Bigivv | Community/Behavioral Health | 824 Hickman Rd Apt D32, Augusta, GA 30904-7108 | 2020-04-28 |
| 1891263091 | Northeast Arkansas Community Mental Health Center Inc | Community/Behavioral Health | 623 N 9th St Ste 200, Augusta, AR 72006-2103 | 2018-11-06 |
| 1811492911 | Healing Elements LLC | Community/Behavioral Health | 6494 Sw 60th St, Augusta, KS 67010-7790 | 2018-03-29 |
| 1942713664 | Consuela Tangulia Wilds-glover | Community/Behavioral Health | 519 Pleasant Home Rd Ste C4, Augusta, GA 30907-0556 | 2017-11-16 |
| 1558874974 | Jenesis Consulting and Development | Community/Behavioral Health | 4274 Belair Frontage Rd Ste 1, Augusta, GA 30909-9428 | 2017-11-07 |
| 1891217824 | Many Waters Counseling, LLC | Community/Behavioral Health | 3540 Wheeler Rd Ste 210, Augusta, GA 30909-1879 | 2017-07-12 |
| 1649702739 | Tracey Taylor Carter | Community/Behavioral Health | 1265 Interstate Pkwy, Suite B, Augusta, GA 30909-6481 | 2017-03-29 |
| 1669918231 | Cj Foster Consulting | Community/Behavioral Health | 3031 Brockham Ct, Augusta, GA 30909-0629 | 2017-01-06 |
| 1679018964 | Greater Image Healthcare Corp | Community/Behavioral Health | 519 Pleasant Home Rd, Augusta, GA 30907-0544 | 2016-12-22 |
| Find all providers in AUGUSTA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.