Provider Demographics
NPI:1508255563
Name:SCHWARTZ, NICOLE (LPC, NCC)
Entity Type:Individual
Prefix:MS
First Name:NICOLE
Middle Name:
Last Name:SCHWARTZ
Suffix:
Gender:F
Credentials:LPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:420 N CENTER DR STE 200
Mailing Address - Street 2:
Mailing Address - City:NORFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23502-0017
Mailing Address - Country:US
Mailing Address - Phone:757-354-3172
Mailing Address - Fax:
Practice Address - Street 1:3516 ARGO CT
Practice Address - Street 2:
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23453-1974
Practice Address - Country:US
Practice Address - Phone:757-803-3172
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-01-14
Last Update Date:2015-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701006008101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional