Provider Demographics
NPI:1558751289
Name:STRONG, NICOLE (LPC)
Entity Type:Individual
Prefix:MS
First Name:NICOLE
Middle Name:
Last Name:STRONG
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2055 S PARIS WAY APT 107
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80014-4960
Mailing Address - Country:US
Mailing Address - Phone:760-807-9313
Mailing Address - Fax:
Practice Address - Street 1:2323 S TROY ST STE 3-107
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80014-1982
Practice Address - Country:US
Practice Address - Phone:864-672-1220
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-02-03
Last Update Date:2018-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0014222101Y00000X
SC6676101Y00000X
101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCPC1854Medicaid