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Nicole Juliette Pankey
Mental Health Counselor in Riverview, Florida
NPI 1548817422

Nicole Juliette Pankey is a Mental Health Counselor based in Riverview, FL and is specialized in Mental Health. Nicole Juliette Pankey practices in Riverview, FL. The NPI Number for Nicole Juliette Pankey is 1548817422 and holds a License No. IMH-16423 (Florida).

The current practice location address for Nicole Juliette Pankey is 13194 Us 301 S Unit 119, Riverview, FL and can be reached out via phone at 850-276-6446.

Location: 13194 Us 301 S Unit 119, Riverview, FL, 33578-7410
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1548817422
Provider Name
Nicole Juliette Pankey
Credential
Provider Entity Type
Individual
Gender
Female
Address
13194 Us 301 S Unit 119, Riverview, FL, 33578-7410
Phone Number
850-276-6446
Fax Number
Provider Enumeration Date
08/24/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
13194 Us 301 S Unit 119
City
Riverview
State
Florida
Zip
33578-7410
Phone Number
850-276-6446
Fax Number
person
Provider Business Mailing Address Details
Address
13194 Us 301 S Unit 119
City
Riverview
State
Florida
Zip
33578-7410
Phone Number
850-276-6446
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
IMH-16423 (Florida)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
IMH-16423 (Florida)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
IMH-16423 (Florida)
Definition
Definition to come...
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