Provider Demographics
NPI:1326385600
Name:NICOLINE MAYGER COUNSELING, LLC.
Entity Type:Organization
Organization Name:NICOLINE MAYGER COUNSELING, LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:NICOLINE
Authorized Official - Middle Name:
Authorized Official - Last Name:MAYGER
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:520-609-2030
Mailing Address - Street 1:5210 E PIMA ST
Mailing Address - Street 2:SUITE 200
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85712-3664
Mailing Address - Country:US
Mailing Address - Phone:520-609-2030
Mailing Address - Fax:520-204-1658
Practice Address - Street 1:5210 E PIMA ST
Practice Address - Street 2:SUITE 200
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85712-3664
Practice Address - Country:US
Practice Address - Phone:520-609-2030
Practice Address - Fax:520-204-1658
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-07
Last Update Date:2013-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZLPC-12212OtherLPC-12212