Nicole Bourgeois, MED, LADC1
Counselor, Addiction (Substance Use Disorder) in Chelsea, Massachusetts
1043727712- Practice location
- 175 Crescent Ave, Chelsea, MA 02150-3009
- Phone
- 617-889-8779
- Fax
- —
- Last updated
- February 26, 2020
Nicole Bourgeois is a Counselor, Addiction (Substance Use Disorder) based in Chelsea, MA. Nicole Bourgeois practices in Chelsea, MA and has the professional credentials of MED, LADC1. The NPI Number for Nicole Bourgeois is 1043727712 and holds a License No. 17801 (MA). The current practice location address for Nicole Bourgeois is 175 Crescent Ave, Chelsea, MA 02150-3009 and can be reached out via phone at 617-889-8779.
Provider Profile Details
- NPI Number
- 1043727712
- Provider Name
- Nicole Bourgeois
- Credential
- MED, LADC1
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 175 Crescent Ave, Chelsea, MA 02150-3009
- Phone Number
- 617-889-8779
- Primary Taxonomy
- Counselor, Addiction (Substance Use Disorder) · 101YA0400X
- Sole Proprietor
- No
- Provider Enumeration Date
- January 4, 2018
- Last Update Date
- February 26, 2020
- Certification Date
- February 26, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 175 Crescent Ave
Chelsea, MA 02150-3009 - City
- Chelsea
- State
- Massachusetts
- Zip
- 02150-3009
- Phone Number
- 617-889-8779
Provider Business Mailing Address Details
- Address
- 175 Crescent Ave
Chelsea, MA 02150-3009 - City
- Chelsea
- State
- MA
- Zip
- 02150-3009
- Phone Number
- 617-889-8779
License Information
- Taxonomy (1)
- Counselor, Addiction (Substance Use Disorder) · 101YA0400X
- License Number (2)
- 17801
- License State (2)
- MA
- Taxonomy (2)
- Counselor, Addiction (Substance Use Disorder) · 101YA0400X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Counselor, Addiction (Substance Use Disorder) providers near Chelsea, MA
View all Counselor, Addiction (Substance Use Disorder) providers in Chelsea →- Adam NunezCounselor, Addiction (Substance Use Disorder) · NPI 1972425304
- Amy L Harris, MEDCounselor, Addiction (Substance Use Disorder) · NPI 1770701625
- Andrew ChmielinskiCounselor, Addiction (Substance Use Disorder) · NPI 1386965705
- Angela KilbrideCounselor, Addiction (Substance Use Disorder) · NPI 1972185387
- Brittaney L SalvioniCounselor, Addiction (Substance Use Disorder) · NPI 1265366942
- Brittany N RoyCounselor, Addiction (Substance Use Disorder) · NPI 1104397637
Frequently Asked Questions
What is the NPI number of Nicole Bourgeois, MED, LADC1?
The NPI number of Nicole Bourgeois, MED, LADC1 is 1043727712. It was assigned on January 4, 2018 and is currently active in the NPPES registry.
What is the specialty of Nicole Bourgeois, MED, LADC1?
Nicole Bourgeois, MED, LADC1 is registered under the primary taxonomy Counselor, Addiction (Substance Use Disorder) (code 101YA0400X), licensed in MA under license number 17801.
Where does Nicole Bourgeois, MED, LADC1 practice?
The practice location is 175 Crescent Ave, Chelsea, MA 02150-3009. The office can be reached at 617-889-8779 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1043727712 directly on the NPPES registry website.