Provider Demographics
NPI:1164905758
Name:MORROW, NICOLE S (LPC-IT)
Entity Type:Individual
Prefix:
First Name:NICOLE
Middle Name:S
Last Name:MORROW
Suffix:
Gender:F
Credentials:LPC-IT
Other - Prefix:
Other - First Name:NICOLE
Other - Middle Name:
Other - Last Name:ESTES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:W175N11120 STONEWOOD DR
Mailing Address - Street 2:
Mailing Address - City:GERMANTOWN
Mailing Address - State:WI
Mailing Address - Zip Code:53022-6511
Mailing Address - Country:US
Mailing Address - Phone:262-345-5533
Mailing Address - Fax:262-293-9737
Practice Address - Street 1:4200 W DOUGLAS AVE
Practice Address - Street 2:
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53209-3529
Practice Address - Country:US
Practice Address - Phone:800-438-1772
Practice Address - Fax:262-345-5531
Is Sole Proprietor?:No
Enumeration Date:2018-09-11
Last Update Date:2018-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional