Provider Demographics
NPI:1508505744
Name:DIDIER COUNSELING LLC
Entity Type:Organization
Organization Name:DIDIER COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:NICOLE
Authorized Official - Middle Name:
Authorized Official - Last Name:DIDIER
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:402-601-8821
Mailing Address - Street 1:6735 VISTAGREEN WAY STE 210
Mailing Address - Street 2:
Mailing Address - City:ROCKFORD
Mailing Address - State:IL
Mailing Address - Zip Code:61107-5654
Mailing Address - Country:US
Mailing Address - Phone:402-601-8821
Mailing Address - Fax:
Practice Address - Street 1:6735 VISTAGREEN WAY STE 210
Practice Address - Street 2:
Practice Address - City:ROCKFORD
Practice Address - State:IL
Practice Address - Zip Code:61107-5654
Practice Address - Country:US
Practice Address - Phone:402-601-8821
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-03
Last Update Date:2023-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty