Provider Demographics
NPI:1558089144
Name:NICOLE MAGNI LMHC, LLC
Entity Type:Organization
Organization Name:NICOLE MAGNI LMHC, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NICOLE
Authorized Official - Middle Name:
Authorized Official - Last Name:MAGNI
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:508-723-5425
Mailing Address - Street 1:PO BOX 107
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:MA
Mailing Address - Zip Code:01501-0107
Mailing Address - Country:US
Mailing Address - Phone:508-723-5425
Mailing Address - Fax:
Practice Address - Street 1:33 EASTFORD RD
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:MA
Practice Address - Zip Code:01501-2003
Practice Address - Country:US
Practice Address - Phone:508-723-5425
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-18
Last Update Date:2022-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)